Provider Demographics
NPI:1598171514
Name:SURGICAL HANDS PA
Entity Type:Organization
Organization Name:SURGICAL HANDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-474-1113
Mailing Address - Street 1:10190 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2234
Mailing Address - Country:US
Mailing Address - Phone:954-474-1113
Mailing Address - Fax:954-382-4910
Practice Address - Street 1:201 NW 82ND AVE
Practice Address - Street 2:SUITE # 405
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-7808
Practice Address - Country:US
Practice Address - Phone:954-474-1113
Practice Address - Fax:954-382-4910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty