MILLENNIUM SURGICAL SERVICES LLC
NPI 1205112208
Physician Assistant - Surgical in Royal Palm Beach, FL

Active since October 24, 2011
755 BELLE GROVE LN, ROYAL PALM BEACH, FL 33411(561) 531-7914 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physician Assistant
  • Surgical

About MILLENNIUM SURGICAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Millennium Surgical Services Llc, a provider established in Royal Palm Beach, Florida operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1205112208 assigned on October 2011. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Millennium Surgical Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Jorge Ehandry Rivero Jr. (Surgical Assistant)

NPI
1205112208 Verify this NPI
Provider Name
MILLENNIUM SURGICAL SERVICES LLC
Entity Type
Organization
Location Address
755 BELLE GROVE LN ROYAL PALM BEACH, FL 33411
Location Phone
(561) 531-7914
Mailing Address
755 BELLE GROVE LN ROYAL PALM BEACH, FL 33411
Mailing Phone
(561) 531-7914
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2011
Last Update Date
10-24-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JORGE EHANDRY RIVERO JR.

Authorized Official Title
SURGICAL ASSISTANT
Authorized Official Phone
(561) 531-7914

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205112208, enumerated as an "organization" on October 24, 2011.

The provider is located at 755 BELLE GROVE LN ROYAL PALM BEACH, FL 33411 and the phone number is (561) 531-7914.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.