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SURGCENTER OF PALM BEACH GARDENS NPI 1770929044


NPI Information

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.


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 SurgicalYes

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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