OrganizationActive
Acacia S Healthcare PLLC
NPI 1720725625 · Family Medicine Physician · Surprise, AZ
Provider details
- NPI number
- 1720725625
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janet Tate-Brown, Employee(609) 364-4028
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
23864 N 166th Ln
Surprise, AZ 85387-1460
Phone: (609) 364-4028
Approximate (ZIP-level) locationGet directions
Mailing address
23864 N 166th Ln
Surprise, AZ 85387-1460
Registry dates
- Enumerated
- 2022-05-12
- Last updated
- 2022-06-07
- Certified
- 2022-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.