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2047 PALM BEACH LAKES PARTNERS LLC NPI 1992740674


NPI Information

NPI: 1992740674
Provider Name: 2047 PALM BEACH LAKES PARTNERS LLC

Doing Business As: PALM BEACH LAKES SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
2047 PALM BEACH LAKES BLVD
WEST PALM BEACH, FL
ZIP 33409
Phone: (561) 296-1330
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2047 PALM BEACH LAKES PARTNERS LLC is an ambulatory surgical clinic center in West Palm Beach, FL. 2047 PALM BEACH LAKES PARTNERS LLC NPI is 1992740674. The provider is registered as an organization entity type.
The provider Is Doing Business As Palm Beach Lakes Surgery Center.

The provider's business location address is:

2047 PALM BEACH LAKES BLVD
WEST PALM BEACH, FL
ZIP 33409-500
Phone: (561) 296-1330
Fax: (561) 296-3469

The provider's authorized official is Jonathan Cutler .
The authorized official title is Managing Partner and has the following contact phone number (561) 796-1330.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 10/28/2008.


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 Surgical924FLORIDAYes

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
1F1168MEDICARE PINFLORIDA

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: 4/28/2024

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