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BETH ISRAEL OUTPATIENT SURGICAL CENTER NPI 1295968709


NPI Information

NPI: 1295968709
Provider Name: BETH ISRAEL OUTPATIENT SURGICAL CENTER

Doing Business As: BROWARD OUTPATIENT SURGICAL CENTER

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

Specialization: Ambulatory Surgical

CLIA Number: 10D1053943

Address:
150 SW 12TH AVE
SUITE 450
POMPANO BEACH, FL
ZIP 33069
Phone: (954) 941-3369
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BETH ISRAEL OUTPATIENT SURGICAL CENTER is an ambulatory surgical clinic center in Pompano Beach, FL. BETH ISRAEL OUTPATIENT SURGICAL CENTER NPI is 1295968709. The provider is registered as an organization entity type.
The provider Is Doing Business As Broward Outpatient Surgical Center.

The provider's business location address is:

150 SW 12TH AVE
SUITE 450
POMPANO BEACH, FL
ZIP 33069
Phone: (954) 941-3369
Fax: (954) 941-8470

The provider's authorized official is Stacey Castrovina .
The authorized official title is Director Of Operations and has the following contact phone number (954) 941-3369.

The CLIA number assigned to this NPI record is 10D1053943 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2009 and was last updated on 10/18/2016.


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 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: 5/5/2024

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