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NPI Code Detail

MEDICARE: ATLANTIC SURGICAL CENTER, INC.

MEDICARE: ATLANTIC SURGICAL CENTER, INC.
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
1261QA1903XAmbulatory Surgical Clinic/Center1015FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2169570900OTHERFLUS DEPT OF LABOR
364XOTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1215924899
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLANTIC SURGICAL CENTER, INC.
Provider Business Mailing Address
First Line : 150 SW 12TH AVE
Second Line : SUITE 450
City : POMPANO BEACH
State : FL
Zip : 33069-3298
Country : US
Telephone Number : 954-946-3603
Fax Number : 954-781-2144
Provider Business Practice Location Address
First Line : 150 SW 12TH AVE
Second Line : SUITE 201
City : POMPANO BEACH
State : FL
Zip : 33069-3298
Country : US
Telephone Number : 954-946-3603
Fax Number : 954-781-2144
Authorized Official
Title or Position : CEO
Name : MR. JOHN W. BEEBE
Credential :
Telephone Number : 954-946-3603
Provider Enumeration Date : 09/29/2005
Last Update Date : 01/22/2010

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Directions to “ATLANTIC SURGICAL CENTER, INC. ” Practice Location

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