PROFESSIONAL SURGICAL ASSISTANTS
NPI 1740618974
Physician Assistant - Surgical in Plantation, FL

Active since October 25, 2013
300 S PINE ISLAND RD, 105, PLANTATION, FL 33324(954) 382-2930 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Professional Surgical Assistants NPPES

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

PROFESSIONAL SURGICAL ASSISTANTS (NPI 1740618974) is a healthcare organization registered as a surgical in Plantation, Florida and active in the NPI registry since October 2013. The organization lists Jacki M Renta, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1740618974
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NamePROFESSIONAL SURGICAL ASSISTANTS
Location Address300 S PINE ISLAND RD, 105Plantation, FL 33324-2673
Mailing Address10190 Sw 3rd StPlantation, FL 33324-2234 · (954) 382-2930
Organization SubpartNo
Authorized OfficialJacki M RentaCredentialing · (954) 382-2930
Enumeration DateOctober 25, 2013
NPI 1740618974 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 · PA9107526
300 S PINE ISLAND RD, Plantation, FL 33324

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 20

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

Physician Assistant (Surgical)
300 S PINE ISLAND RD, 105
PLANTATION, FL 33324
Marriage & Family Therapist
300 S PINE ISLAND RD, SUITE 253
PLANTATION, FL 33324
Counselor (Addiction (Substance Use Disorder))
300 S PINE ISLAND RD, SUITE 247
PLANTATION, FL 33324
Psychologist (Clinical)
300 S PINE ISLAND RD, SUITE 227
PLANTATION, FL 33324
Counselor (Mental Health)
300 S PINE ISLAND RD
PLANTATION, FL 33324
Psychologist (Clinical)
300 S PINE ISLAND RD, SUITE 241
PLANTATION, FL 33324
Psychologist (Clinical)
300 S PINE ISLAND RD, STE 213
PLANTATION, FL 33324
Counselor (Mental Health)
300 S PINE ISLAND RD
PLANTATION, FL 33324

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 Professional Surgical Assistants's NPI number?

The NPI number for Professional Surgical Assistants is 1740618974. It was assigned to this organization in the NPPES registry on October 25, 2013.

Where is Professional Surgical Assistants located?

Professional Surgical Assistants is located at 300 S Pine Island Rd 105, Plantation, FL 33324. The listed phone number is (954) 382-2930.

What is Professional Surgical Assistants'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 Professional Surgical Assistants was last updated on October 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.