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HALLANDALE OUTPATIENT SURGICAL CENTERLTD NPI 1659443042


NPI Information

NPI: 1659443042
Provider Name: HALLANDALE OUTPATIENT SURGICAL CENTER,LTD
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D1045659

Address:
306 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
ZIP 33009
Phone: (954) 458-1689
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HALLANDALE OUTPATIENT SURGICAL CENTER,LTD is an ambulatory surgical clinic center in Hallandale Beach, FL. HALLANDALE OUTPATIENT SURGICAL CENTER,LTD NPI is 1659443042. The provider is registered as an organization entity type.

The provider's business location address is:

306 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
ZIP 33009-527
Phone: (954) 458-1689
Fax: (954) 458-1699

The provider's authorized official is Maday Ramos .
The authorized official title is Business Office Manager and has the following contact phone number (954) 458-1689.

The CLIA number assigned to this NPI record is 10D1045659 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 10/15/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical1256FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11256OTHERFLORIDASTATE LICENSE
210C0001476MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.