SOUTHLAKE SURGICAL ASSISTANT SERVICES LLC
NPI 1447958434
Physician Assistant - Surgical in Boynton Beach, FL

Active since February 20, 2023
20 VIA DE CASAS SUR APT 204, BOYNTON BEACH, FL 33426(954) 599-7778 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southlake Surgical Assistant Services Llc NPPES

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

SOUTHLAKE SURGICAL ASSISTANT SERVICES LLC (NPI 1447958434) is a healthcare organization registered as a surgical in Boynton Beach, Florida and active in the NPI registry since February 2023. The organization lists Daniel Angelo Granados, Owner, as its authorized official.

NPPES Registry Identity

NPI1447958434
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSOUTHLAKE SURGICAL ASSISTANT SERVICES LLC
Location Address20 VIA DE CASAS SUR APT 204Boynton Beach, FL 33426-8850
Mailing Address20 Via De Casas Sur Apt 204Boynton Beach, FL 33426-8850 · (954) 599-7778
Organization SubpartNo
Authorized OfficialDaniel Angelo GranadosOwner · (954) 599-7778
Enumeration DateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
NPI 1447958434 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
20 VIA DE CASAS SUR APT 204, Boynton Beach, FL 33426

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.

Physician Assistant (Surgical)
20 VIA DE CASAS SUR APT 204
BOYNTON BEACH, FL 33426

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 Southlake Surgical Assistant Services LLC's NPI number?

The NPI number for Southlake Surgical Assistant Services LLC is 1447958434. It was assigned to this organization in the NPPES registry on February 20, 2023.

Where is Southlake Surgical Assistant Services LLC located?

Southlake Surgical Assistant Services LLC is located at 20 Via De Casas Sur Apt 204, Boynton Beach, FL 33426. The listed phone number is (954) 599-7778.

What is Southlake Surgical Assistant Services 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 Southlake Surgical Assistant Services LLC was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.