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

Surgical Physician Assistants LLC

Organization Surgical Physician Assistant · NPI 1467560896

Surgical Physician Assistants LLC provides Surgical Physician Assistant services in Merritt Island, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

205 Platt Ave
Merritt Island, FL 32952-4963 Not confirmed with CMS for 15 years — call before visiting
Phone: (321) 615-4800
Fax: (321) 574-0590
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 PA 9102122 (FL)

Record details

NPI number1467560896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Janke — Owner · (321) 615-4800
NPI enumeratedAugust 27, 2006
Last updated in NPPESDecember 8, 2010
Mailing addressPo Box 362, Cocoa, FL 32923-0362

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