NPI: 1770929044
Provider Name: SURGCENTER OF PALM BEACH GARDENS
Other Name: SURGCENTER OF PALM BEACH GARDENS, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
CLIA Number: 10D2063500
Address:
900 VILLAGE SQUARE CROSSING
SUITE 100
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 429-6880
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SURGCENTER OF PALM BEACH GARDENS is an ambulatory surgical clinic center in Palm Beach Gardens, FL. SURGCENTER OF PALM BEACH GARDENS NPI is 1770929044. The provider is registered as an organization entity type.
The provider Other Name Is Surgcenter Of Palm Beach Gardens, Llc.
The provider's business location address is:
900 VILLAGE SQUARE CROSSING
SUITE 100
PALM BEACH GARDENS, FL
ZIP 33410-543
Phone: (561) 429-6880
Fax: (561) 429-6881
The provider's authorized official is Collin Lemaistre .
The authorized official title is Officer/authorized Official and has the following contact phone number (404) 781-2921.
The CLIA number assigned to this NPI record is 10D2063500 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/14/2013 and was last updated on 11/9/2021.