KRAYSSA SURGICAL ASSIST, PA
NPI 1104274760
Physician Assistant - Surgical in Plantation, FL

Active since May 24, 2016
601 NW 82ND AVE APT 331, PLANTATION, FL 33324(954) 648-7850 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krayssa Surgical Assist, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRAYSSA SURGICAL ASSIST, PA (NPI 1104274760) is a healthcare organization registered as a surgical in Plantation, Florida and active in the NPI registry since May 2016. The organization lists Watfa Krayssa, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1104274760
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameKRAYSSA SURGICAL ASSIST, PA
Location Address601 NW 82ND AVE APT 331Plantation, FL 33324-1397
Mailing Address601 Nw 82nd Ave Apt 331Plantation, FL 33324-1397 · (954) 648-7850
Organization SubpartNo
Authorized OfficialWatfa KrayssaPresident/ceo · (954) 648-7850
Enumeration DateMay 24, 2016
NPI 1104274760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9104341
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9104341 (FL)
601 NW 82ND AVE APT 331, Plantation, FL 33324

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krayssa Surgical Assist, PA's NPI number?

The NPI number for Krayssa Surgical Assist, PA is 1104274760. It was assigned to this organization in the NPPES registry on May 24, 2016.

Where is Krayssa Surgical Assist, PA located?

Krayssa Surgical Assist, PA is located at 601 NW 82nd Ave Apt 331, Plantation, FL 33324. The listed phone number is (954) 648-7850.

What is Krayssa Surgical Assist, PA's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Krayssa Surgical Assist, PA was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.