Healthcare Provider Details
I. General information
NPI: 1750154142
Provider Name (Legal Business Name): SOUTH FLORIDA SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 SW 12TH AVE STE 450
POMPANO BEACH FL
33069-3200
US
IV. Provider business mailing address
1260 SPANISH RIVER RD
BOCA RATON FL
33432-7706
US
V. Phone/Fax
- Phone: 954-871-6544
- Fax:
- Phone: 515-554-7379
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ASHISH
SAHAI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 515-554-7379