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

Oceanside Elite Surgical Assisting, LLC

Organization Surgical Physician Assistant · NPI 1780247189

Oceanside Elite Surgical Assisting, LLC is a Surgical Physician Assistant in Fort Lauderdale, Florida. Registered with an NPI since 2019.

In the registry since
2019
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 NE 15th Ct
Fort Lauderdale, FL 33304-1709
Phone: (954) 257-7859
Fax: (954) 616-8063
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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

Record details

NPI number1780247189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelby Lane — President · (954) 257-7859
NPI enumeratedApril 21, 2019
Last updated in NPPESSeptember 16, 2019
Mailing address3319 Ne 15th Ct, Fort Lauderdale, FL 33304-1709

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