Waterside Ambulatory Surgical Center Llc

LBN: Waterside Ambulatory Surgical Center Llc
Waterside Ambulatory Surgical Center Llc is an health care organization with primary practice located at 2001 N Flagler Dr , West Palm Beach FL 33407-6109. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Waterside Ambulatory Surgical Center Llc can be contacted via phone (561) 721-8755, or through Bolognini, Lisa via phone (561) 659-6632.

Contact Information

Primary practice address
2001 N Flagler Dr West Palm Beach FL 33407-6109
Phone: (561) 721-8755
Fax: (561) 340-1095
Website:
Map and Directions
Authorized official contact:
Name: Bolognini, Lisa
Phone: (561) 659-6632

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 14960424 Florida

Profile Details

NPI number 1295739217
LBN Legal business name Waterside Ambulatory Surgical Center Llc
DBA Doing business as
Authorized official Bolognini, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Aug 19th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295739217 NPPES
Florida MEDICAID 079106700

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