Provider Demographics
NPI:1043002371
Name:BARRETTS SURGICAL ASSISTING INC.
Entity type:Organization
Organization Name:BARRETTS SURGICAL ASSISTING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:540-524-8955
Mailing Address - Street 1:900 JUNO OCEAN WALK LOT F1
Mailing Address - Street 2:
Mailing Address - City:JUNO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-1120
Mailing Address - Country:US
Mailing Address - Phone:540-524-8955
Mailing Address - Fax:
Practice Address - Street 1:900 JUNO OCEAN WALK LOT F1
Practice Address - Street 2:
Practice Address - City:JUNO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-1120
Practice Address - Country:US
Practice Address - Phone:540-524-8955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty