OrganizationActive
Advanced Surgical & Physician Assistant Services Inc
NPI 1053043059 · Surgical Physician Assistant · Indialantic, FL
Provider details
- NPI number
- 1053043059
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dale Greyslak, Owner(407) 451-0192
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
461 Mallard Ln
Indialantic, FL 32903-4735
Phone: (407) 451-0192
Fax: (321) 600-4004
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 410185
Melbourne, FL 32941-0185
Registry dates
- Enumerated
- 2022-06-28
- Last updated
- 2022-06-28
- Certified
- 2022-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.