PHYSICIAN ASSISTANT SERVICES OF FLORIDA LLC
NPI 1972673184
Physician Assistant - Surgical in Melbourne, FL

Active since November 08, 2006
301 E HIBISCUS BLVD, MELBOURNE, FL 32901(321) 409-8941(321) 409-9392 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Physician Assistant Services Of Florida Llc NPPES

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

PHYSICIAN ASSISTANT SERVICES OF FLORIDA LLC (NPI 1972673184) is a healthcare organization registered as a surgical in Melbourne, Florida and active in the NPI registry since November 2006. The organization lists Charles Hamilton Boone, Owner, as its authorized official.

NPPES Registry Identity

NPI1972673184
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NamePHYSICIAN ASSISTANT SERVICES OF FLORIDA LLC
Location Address301 E HIBISCUS BLVDMelbourne, FL 32901-3105
Mailing AddressPo Box 1261Melbourne, FL 32902-1261 · (321) 409-8941 · Fax (321) 409-9392
Fax(321) 409-9392
Organization SubpartNo
Authorized OfficialCharles Hamilton BooneOwner · (321) 409-8941
Enumeration DateNovember 8, 2006
Last NPPES UpdateApril 20, 2008
NPI 1972673184 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 · PA3525
301 E HIBISCUS BLVD, Melbourne, FL 32901

Other Identifiers 1

Medicare PINK4385FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Physician Assistant Services Of Florida LLC's NPI number?

The NPI number for Physician Assistant Services Of Florida LLC is 1972673184. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Physician Assistant Services Of Florida LLC located?

Physician Assistant Services Of Florida LLC is located at 301 E Hibiscus Blvd, Melbourne, FL 32901. The listed phone number is (321) 409-8941.

What is Physician Assistant Services Of Florida 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 Physician Assistant Services Of Florida LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.