Southlake Surgical Assistant Services LLC
NPI 1447958434ActiveOrganization· Physician Assistant, Surgical· Boynton Beach, FL
Physician Assistant, Surgical in Boynton Beach, Florida, registered in NPPES in February 2023. The authorized official on file is Daniel Angelo Granados, Owner.
Overview
| NPI | 1447958434 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2023 |
| Last updated in NPPES | Feb 20, 2023 |
| Certified by provider | Feb 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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