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NISSY SURGICAL 1ST ASSIST LLC
NPI 1134584519
Physician Assistant - Surgical in Boynton Beach, FL

Active since December 29, 2015
10752 EMILIA ISLES TER, BOYNTON BEACH, FL 33473(954) 416-1781 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nissy Surgical 1st Assist Llc NPPES

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

NISSY SURGICAL 1ST ASSIST LLC (NPI 1134584519) is a healthcare organization registered as a surgical in Boynton Beach, Florida and active in the NPI registry since December 2015. The organization lists Rodrigue Tertus, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1134584519
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameNISSY SURGICAL 1ST ASSIST LLC
Location Address10752 EMILIA ISLES TERBoynton Beach, FL 33473-4965
Mailing Address10752 Emilia Isles TerBoynton Beach, FL 33473-4965
Phone(954) 416-1781
Organization SubpartNo
Authorized OfficialRodrigue TertusAuthorized Official · (954) 416-1781
Enumeration DateDecember 29, 2015
✔ NPI 1134584519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9107169
10752 EMILIA ISLES TER, Boynton Beach, FL 33473
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RODRIGUE TERTUS P.A.
Physician Assistant
10752 EMILIA ISLES TER
BOYNTON BEACH, FL 33473
Palm Beach County (561) 739-8665

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 Nissy Surgical 1st Assist LLC's NPI number?

The NPI number for Nissy Surgical 1st Assist LLC is 1134584519. It was assigned to this organization in the NPPES registry on December 29, 2015.

Where is Nissy Surgical 1st Assist LLC located?

Nissy Surgical 1st Assist LLC is located at 10752 Emilia Isles Ter, Boynton Beach, FL 33473. The listed phone number is (954) 416-1781.

What is Nissy Surgical 1st Assist LLC'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 Nissy Surgical 1st Assist LLC was last updated on December 29, 2015. 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.