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
1	261QA1903X	Ambulatory Surgical Clinic/Center	944	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID 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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