Healthcare Provider Details
I. General information
NPI: 1992597983
Provider Name (Legal Business Name): DISC SURGERY CENTER AT PALM BEACH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2025
Last Update Date: 07/27/2025
Certification Date: 07/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 NORTHPOINT PKWY
WEST PALM BEACH FL
33407-1914
US
IV. Provider business mailing address
3501 JAMBOREE RD STE 2300
NEWPORT BEACH CA
92660-2904
US
V. Phone/Fax
- Phone: 310-710-4189
- Fax:
- Phone: 949-988-7828
- Fax: 949-988-7869
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: MRS.
KAREN
JANE
REITER
Title or Position: NATIONAL VP OF ASC OPERATIONS
Credential:
Phone: 310-710-4189