Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nissy Surgical 1st Assist LLC

Organization Surgical Physician Assistant · NPI 1134584519

Nissy Surgical 1st Assist LLC provides Surgical Physician Assistant services in Boynton Beach, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10752 Emilia Isles Ter
Boynton Beach, FL 33473-4965 Not confirmed with CMS for 10 years — call before visiting
Phone: (954) 416-1781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9107169 (FL)

Record details

NPI number1134584519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodrigue Tertus — Authorized Official · (954) 416-1781
NPI enumeratedDecember 29, 2015
Last updated in NPPESDecember 29, 2015
Mailing address10752 Emilia Isles Ter, Boynton Beach, FL 33473-4965

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