Provider Demographics
NPI:1871605329
Name:FIRST ASSISTANTS INC
Entity type:Organization
Organization Name:FIRST ASSISTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN MS CRNFA
Authorized Official - Phone:321-728-1599
Mailing Address - Street 1:405 NEWPORT DR
Mailing Address - Street 2:
Mailing Address - City:INDIALANTIC
Mailing Address - State:FL
Mailing Address - Zip Code:32903-4024
Mailing Address - Country:US
Mailing Address - Phone:321-728-1599
Mailing Address - Fax:321-728-0662
Practice Address - Street 1:405 NEWPORT DR
Practice Address - Street 2:
Practice Address - City:INDIALANTIC
Practice Address - State:FL
Practice Address - Zip Code:32903-4024
Practice Address - Country:US
Practice Address - Phone:321-728-1599
Practice Address - Fax:321-728-0662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2019732363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY4881OtherBCBS