MEDICARE: DELRAY BEACH SURGICAL SUITES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	1400	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	605561	OTHER	FL	JOINT COMMISSION

General Provider Information

NPI Number	:	1184164816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELRAY BEACH SURGICAL SUITES, LLC

Provider Business Mailing Address
First Line	:	555 SE 5TH AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5212
Country	:	US
Telephone Number	:	561-332-3766
Fax Number	:	561-332-3756

Provider Business Practice Location Address
First Line	:	555 SE 5TH AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5212
Country	:	US
Telephone Number	:	561-319-0751
Fax Number	:

Authorized Official
Title or Position	:	NURSE ADMINISTRATOR
Name	:	ASHLIE CRAMER
Credential	:	RN, MSN, CNOR
Telephone Number	:	561-332-3766

Provider Enumeration Date	:	02/28/2017
Last Update Date	:	11/05/2025

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