Healthcare Provider Details

I. General information

NPI: 1568918746
Provider Name (Legal Business Name): ORTHOPEDIC SURGERY CENTER OF PALM BEACH COUNTY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2016
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10275 HAGEN RANCH ROAD
BOYNTON BEACH FL
33437-3437
US

IV. Provider business mailing address

10275 HAGEN RANCH RD STE 100
BOYNTON BEACH FL
33437-3784
US

V. Phone/Fax

Practice location:
  • Phone: 860-833-2375
  • Fax:
Mailing address:
  • Phone: 561-300-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HEATHER COLON
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-300-1400