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

Professional Surgical Assistants

Organization Surgical Physician Assistant · NPI 1740618974

Professional Surgical Assistants provides Surgical Physician Assistant services in Plantation, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

300 S Pine Island Rd 105
Plantation, FL 33324-2673 Not confirmed with CMS for 12 years — call before visiting
Phone: (954) 382-2930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9107526 (FL)

Record details

NPI number1740618974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacki Renta — Credentialing · (954) 382-2930
NPI enumeratedOctober 25, 2013
Last updated in NPPESOctober 25, 2013
Mailing address10190 Sw 3rd St, Plantation, FL 33324-2234

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