Provider Demographics
NPI:1679795033
Name:PRECISION SURGICAL SERVICES LLC
Entity type:Organization
Organization Name:PRECISION SURGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEMBRZUSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-394-8971
Mailing Address - Street 1:1508 EMERALD ISLE PT
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-6748
Mailing Address - Country:US
Mailing Address - Phone:407-394-8971
Mailing Address - Fax:321-256-2353
Practice Address - Street 1:1508 EMERALD ISLE PT
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6748
Practice Address - Country:US
Practice Address - Phone:407-394-8971
Practice Address - Fax:321-256-2353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA 3083363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty