66101 SUNSET STRIPLLC NPI 1235433749

NPI Information

NPI: 1235433749
Provider Name: 66101 SUNSET STRIP,LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
40 SOUTH EAST 5TH STREET, SUITE 406
BOCA RATON, FL
ZIP 33432
Phone: (561) 368-7118
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66101 SUNSET STRIP,LLC is an ambulatory surgical clinic center in Boca Raton, FL. 66101 SUNSET STRIP,LLC NPI is 1235433749. The provider is registered as an organization entity type.

The provider's business location address is:

40 SOUTH EAST 5TH STREET, SUITE 406
BOCA RATON, FL
ZIP 33432
Phone: (561) 368-7118
Fax: (561) 368-7116

The provider's authorized official is Thomas Mednolia .
The authorized official title is Vp and has the following contact phone number (336) 575-2833.

The enumeration date for this NPI number is 12/28/2010 and was last updated on 12/28/2010.

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	22512	NEW JERSEY	Yes

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: 11/14/2023

NPI Synchronization or Removal

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