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NPI 1184164816

NPI 1184164816 : DELRAY BEACH SURGICAL SUITES, LLC : DELRAY BEACH, FL

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General NPI Number Information
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    NPI Number           |    1184164816
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    Entity Type          |    Organization 
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    Legal Business Name  |    DELRAY BEACH SURGICAL SUITES, LLC 
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Dates
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    Enumeration Date     |    02/28/2017
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    555 SE 5TH AVE 
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    City                 |    DELRAY BEACH
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    State                |    FL
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    Zip                  |    33483-5212
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    Country              |    US
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    Telephone            |    561-319-0751
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    555 SE 5TH AVE 
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    City                 |    DELRAY BEACH
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    State                |    FL
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    Zip                  |    33483-5212
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    Country              |    US
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    Telephone            |    561-332-3766
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    Fax                  |    561-332-3756
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Authorized Official
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    Title or Position    |    NURSE ADMINISTRATOR
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    Name                 |     ASHLIE  CRAMER 
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    Credential           |    RN, MSN, CNOR
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    Telephone            |    561-332-3766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    1400
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    License Number State |    FL
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