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SOUTH PALM AMBULATORY SURGERY CENTER LLC NPI 1285642652


NPI Information

NPI: 1285642652
Provider Name: SOUTH PALM AMBULATORY SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1905 CLINT MOORE RD
SUITE 115
BOCA RATON, FL
ZIP 33496
Phone: (561) 807-8090
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SOUTH PALM AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Boca Raton, FL. SOUTH PALM AMBULATORY SURGERY CENTER, LLC NPI is 1285642652. The provider is registered as an organization entity type.

The provider's business location address is:

1905 CLINT MOORE RD
SUITE 115
BOCA RATON, FL
ZIP 33496-658
Phone: (561) 807-8090
Fax: (561) 807-8100

The provider's authorized official is Gregory R Cohen .
The authorized official title is President and has the following contact phone number (561) 981-8400.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 9/30/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalFLORIDAYes

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

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