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General NPI Number Information
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NPI Number | 1235393356
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Entity Type | Organization
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Legal Business Name | PHYSICIANS OUTPATIENT SURGERY CENTER LLC
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1000 NE 56TH ST
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City | FT LAUDERDALE
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State | FL
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Zip | 33334-4149
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Country | US
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Telephone | 954-958-0635
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Fax | 954-489-2846
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Provider Business Mailing Address
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Address Line | 1000 NE 56TH ST
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City | FT LAUDERDALE
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State | FL
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Zip | 33334-4149
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Country | US
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Telephone | 954-958-0635
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Fax | 954-489-2846
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ROBERT CASALOU
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Credential |
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Telephone | 734-712-3792
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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 |
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License Number State |
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