South Palm Ambulatory Surgery Center, LLC
Clinic/Center, Ambulatory Surgical in Boca Raton, FL. Organization (NPI-2).
NPI number1285642652
StatusActive
Last updated in NPPESSep 30, 2014
Details
- NPI
- 1285642652
- Entity type
- Organization (NPI-2)
- Legal business name
- South Palm Ambulatory Surgery Center, LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2006
- Last updated
- Sep 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | FL | Yes |
Practice location
1905 Clint Moore RdSuite 115
Boca Raton, FL 33496-2658
Phone 561-807-8090 · Fax 561-807-8100
Mailing address
1905 Clint Moore RdSuite 115
Boca Raton, FL 33496-2658
Phone 561-807-8090 · Fax 561-807-8100
Authorized official
Gregory R Cohen
President
5619818400
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