Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Surgical & Physician Assistant Services Inc

Organization Surgical Physician Assistant · NPI 1053043059

Advanced Surgical & Physician Assistant Services Inc is a Surgical Physician Assistant in Indialantic, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

461 Mallard Ln
Indialantic, FL 32903-4735
Phone: (407) 451-0192
Fax: (321) 600-4004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1053043059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Greyslak — Owner · (407) 451-0192
NPI enumeratedJune 28, 2022
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing addressPo Box 410185, Melbourne, FL 32941-0185

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