DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WEST PALM BEACH FL ENDOSCOPY ASC LLC

MEDICARE: WEST PALM BEACH FL ENDOSCOPY ASC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center1119FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00289060OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609841261
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST PALM BEACH FL ENDOSCOPY ASC LLC
Provider Business Mailing Address
First Line : 1117 N OLIVE AVE
Second Line : SUITE 201
City : WEST PALM BEACH
State : FL
Zip : 33401-3520
Country : US
Telephone Number : 561-514-0353
Fax Number : 561-514-0236
Provider Business Practice Location Address
First Line : 1117 N OLIVE AVE
Second Line : SUITE 201
City : WEST PALM BEACH
State : FL
Zip : 33401-3520
Country : US
Telephone Number : 561-514-0353
Fax Number : 561-514-0236
Authorized Official
Title or Position : PRESIDENT OF LLC
Name : MR. PHILLIP A CLENDENIN
Credential :
Telephone Number : 615-665-1283
Provider Enumeration Date : 02/17/2006
Last Update Date : 09/07/2023

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:
2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908
Practice Phone: 301-816-6660
Practice Fax: 301-816-6308
1033112149 — MEDFUND LLC
Practice Location Address:
1117 N OLIVE AVE , STE 101
WEST PALM BEACH, FL
33401-3520
Practice Phone: 561-651-7410
Practice Fax: 561-651-7417
1801898655 — JEFFREY STUART WENGER M.D.
Practice Location Address:
1117 N OLIVE AVE , STE. 203
WEST PALM BEACH, FL
33401-3520
Practice Phone: 561-802-9050
Practice Fax: 561-802-9059
1710970454 — MICHAEL S JUTTE A.R.N.P.
Practice Location Address:
1117 N OLIVE AVE , SUITE #202
WEST PALM BEACH, FL
33401-3520
Practice Phone: 561-655-4450
Practice Fax: 561-655-4469
1740278522 — SIDNEY NEIMARK MD
Practice Location Address:
1117 N OLIVE AVE , SUITE 203
WEST PALM BEACH, FL
33401-3520
Practice Phone: 561-820-1441
Practice Fax:
1215991690 — JACK M BELLAFIORE PA-C
Practice Location Address:
1117 N OLIVE AVE , SUITE 202
WEST PALM BEACH, FL
33401-3520
Practice Phone: 561-655-4450
Practice Fax: 561-655-4469

Directions to “WEST PALM BEACH FL ENDOSCOPY ASC LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.