NPIMap

Organization Active NPI

Spectrum Surgicare LLC

  • Ambulatory Surgical Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1033382965
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSR1134 Issued in FL
Legal business name
SPECTRUM SURGICARE LLC
Practice address
9868 S State Rd 7
Suite 320
Boynton Beach, FL 33472-4477
Phone
(561) 736-6053
NPI assigned
Apr 11, 2008
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tibor E PolczNPI 1417029109
Title
Medical Director
Phone
(561) 736-6053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSR1134 FL Primary

Addresses

Primary practice location

9868 S State Rd 7
Suite 320
Boynton Beach, FL 33472-4477

Mailing address

9868 S State Rd 7
Suite 320
Boynton Beach, FL 33472-4477

National Provider Directory

National Provider Directory

Locations

9868 S State Road 7
Ste 320
Boynton Beach, FL 33472
Phone (561) 736-6006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1033382965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9868 S STATE RD 7",
            "address_2": "SUITE 320",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9868 S STATE RD 7",
            "address_2": "SUITE 320",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724477",
            "telephone_number": "561-736-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM SURGICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "POLCZ",
        "authorized_official_first_name": "TIBOR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-736-6053",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "OSR1134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.