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

Obsidian Surgical Services, LLC

Organization Physician Assistant · NPI 1003485541

Obsidian Surgical Services, LLC is a Physician Assistant in Land O Lakes, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3319 Marble Crest Dr
Land O Lakes, FL 34638-6082
Phone: (352) 514-3413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1003485541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashlee McNiff — Ceo · (352) 514-3413
NPI enumeratedJune 19, 2021
Last updated in NPPESJune 19, 2021
Certification dateJune 19, 2021
Mailing address3319 Marble Crest Dr, Land O Lakes, FL 34638-6082

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