Provider Demographics
NPI:1205399946
Name:USA UNITED SURGICAL ASSISTANTS
Entity Type:Organization
Organization Name:USA UNITED SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, SFA, CSA, SA-C
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:VOLPE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, SFA, CSA, SA-C
Authorized Official - Phone:727-514-1188
Mailing Address - Street 1:745 PORTA ROSA CIR
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-0476
Mailing Address - Country:US
Mailing Address - Phone:727-514-1188
Mailing Address - Fax:904-212-2744
Practice Address - Street 1:BAHRI SURGICAL CENTER
Practice Address - Street 2:9726 TOUCHTON RD
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246
Practice Address - Country:US
Practice Address - Phone:904-574-8680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATRIOT SURGICAL FIRST ASSISTANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty