CORAL SPRINGS AMBULATORY SURGERY CENTER LLC NPI 1114976651

NPI Information

NPI: 1114976651
Provider Name: CORAL SPRINGS AMBULATORY SURGERY CENTER LLC

Doing Business As: CORAL SPRINGS SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1725 UNIVERSITY DRIVE
2ND FLOOR
CORAL SPRINGS, FL
ZIP 33071
Phone: (954) 227-7760
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CORAL SPRINGS AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Coral Springs, FL. CORAL SPRINGS AMBULATORY SURGERY CENTER LLC NPI is 1114976651. The provider is registered as an organization entity type.
The provider Is Doing Business As Coral Springs Surgical Center.

The provider's business location address is:

1725 UNIVERSITY DRIVE
2ND FLOOR
CORAL SPRINGS, FL
ZIP 33071
Phone: (954) 227-7760
Fax: (954) 227-9975

The provider's authorized official is Phillip A. Clendenin .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 9/7/2023.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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
1	SG013546	OTHER		VISTA
2	2167675	OTHER	FLORIDA	AETNA
3	63K	OTHER	FLORIDA	BC
4	070313300	MEDICAID	FLORIDA
5	261016	OTHER		AVMED
6	30734	OTHER		NEIGHBORHOOD
7	215430	OTHER		AMERIGROUP

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: 5/5/2024

NPI Synchronization or Removal

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