Organization · NPI-2

Blue Diamond Surgical Specialists LLC

Surgery · Palm Beach Gardens, FL

NPI number1871234732
StatusActive
Last updated in NPPESNov 5, 2026

Details

NPI
1871234732
Entity type
Organization (NPI-2)
Legal business name
Blue Diamond Surgical Specialists LLC
Organization subpart
No
Enumeration date
Apr 5, 2022
Certification date
Nov 5, 2026
Last updated
Nov 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Practice location

2401 Pga Blvd Ste 130
Palm Beach Gardens, FL 33410-3515

Phone 561-799-9011

Mailing address

2401 Pga Blvd Ste 130
Palm Beach Gardens, FL 33410-3515

Phone 561-799-9011

Authorized official

Amy Lee Collins-Brenner
Authorized Official
5617999011

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery providers in Palm Beach Gardens, FL