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NPI Code Detail

MEDICARE: THE OUTPATIENT CENTER, LLC

MEDICARE: THE OUTPATIENT CENTER, 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
1261QA1903XAmbulatory Surgical Clinic/Center944FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811001860
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE OUTPATIENT CENTER, LLC
Provider Business Mailing Address
First Line : 2351S SEACREST BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-6759
Country : US
Telephone Number : 561-732-5900
Fax Number : 561-732-7667
Provider Business Practice Location Address
First Line : 2531 SOUTH SEACREST BOULEVARD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435
Country : US
Telephone Number : 561-732-5900
Fax Number : 561-732-7667
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : COLLIN LEMAISTRE
Credential :
Telephone Number : 214-213-0732
Provider Enumeration Date : 08/18/2006
Last Update Date : 01/12/2025

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Directions to “THE OUTPATIENT CENTER, LLC ” Practice Location

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