CENTRAL PALM BEACH SURGERY CENTER L.T.D. NPI 1033434485

NPI Information

  • NPI: 1033434485
  • Provider Name: CENTRAL PALM BEACH SURGERY CENTER, L.T.D.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Former Legal Business Name: CENTRAL PALM BEACH SURGERY CENTER, LLC
  • CLIA Number: 10D1022761
  • Address: 2047 PALM BEACH LAKES BLVD
    WEST PALM BEACH, FL
    ZIP 33409
  • Phone: (561) 721-6880

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NPI Details

CENTRAL PALM BEACH SURGERY CENTER, L.T.D. is an ambulatory surgical clinic center in West Palm Beach, FL. CENTRAL PALM BEACH SURGERY CENTER, L.T.D. NPI is 1033434485. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Central Palm Beach Surgery Center, Llc.

The provider's business location address is:

2047 PALM BEACH LAKES BLVD
WEST PALM BEACH, FL
ZIP 33409-522
Phone: (561) 721-6880
Fax: (561) 721-6885

The provider's authorized official is Jonathan Cutler .
The authorized official title is Owner and has the following contact phone number (561) 721-6880.

The CLIA number assigned to this NPI record is 10D1022761 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2010 and was last updated on 6/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical924FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F1168MEDICARE UPIN
275736500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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