OCEANSIDE ELITE SURGICAL ASSISTING, LLC
NPI 1780247189
Physician Assistant - Surgical in Fort Lauderdale, FL

Active since April 21, 2019
3319 NE 15TH CT, FORT LAUDERDALE, FL 33304(954) 257-7859(954) 616-8063 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2019, Apr 21, 2019 (2 updates tracked since 2019).

About Oceanside Elite Surgical Assisting, Llc NPPES

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

OCEANSIDE ELITE SURGICAL ASSISTING, LLC (NPI 1780247189) is a healthcare organization registered as a surgical in Fort Lauderdale, Florida and active in the NPI registry since April 2019. The organization lists Shelby Allison Lane, President, as its authorized official.

NPPES Registry Identity

NPI1780247189
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameOCEANSIDE ELITE SURGICAL ASSISTING, LLC
Location Address3319 NE 15TH CTFort Lauderdale, FL 33304-1709
Mailing Address3319 Ne 15th CtFort Lauderdale, FL 33304-1709 · (954) 257-7859 · Fax (954) 616-8063
Fax(954) 616-8063
Organization SubpartNo
Authorized OfficialShelby Allison LanePresident · (954) 257-7859
Enumeration DateApril 21, 2019
Last NPPES UpdateSeptember 16, 20192 updates tracked since enumeration
NPI 1780247189 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
3319 NE 15TH CT, Fort Lauderdale, FL 33304

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)
3319 NE 15TH CT
FORT LAUDERDALE, FL 33304

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 Oceanside Elite Surgical Assisting, LLC's NPI number?

The NPI number for Oceanside Elite Surgical Assisting, LLC is 1780247189. It was assigned to this organization in the NPPES registry on April 21, 2019.

Where is Oceanside Elite Surgical Assisting, LLC located?

Oceanside Elite Surgical Assisting, LLC is located at 3319 NE 15th Ct, Fort Lauderdale, FL 33304. The listed phone number is (954) 257-7859.

What is Oceanside Elite Surgical Assisting, 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 Oceanside Elite Surgical Assisting, LLC was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.