Provider Demographics
NPI:1629123609
Name:1ST ASSISTANTS, INC.
Entity Type:Organization
Organization Name:1ST ASSISTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WASMER
Authorized Official - Suffix:
Authorized Official - Credentials:SA-C
Authorized Official - Phone:321-960-8190
Mailing Address - Street 1:7432 CAMIO AVE
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32927-3062
Mailing Address - Country:US
Mailing Address - Phone:321-960-8190
Mailing Address - Fax:321-735-0243
Practice Address - Street 1:7432 CAMIO AVE
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32927-3062
Practice Address - Country:US
Practice Address - Phone:321-960-8190
Practice Address - Fax:321-735-0243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty