Palm Beach Endoscopy and Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PALM BEACH ENDOSCOPY AND SURGERY CENTER LLC

Practice address

1157 S State Road 7
Wellington, FL 33414-6101

Phone

(561) 795-3330

Fax

(615) 345-6905

NPI assigned

Mar 25, 2011

Organization subpart

No

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

Authorized official

Name

Mr. David W. Holst

Title

President, Board of Managers

Phone

(615) 345-6899

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1073812376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE STREET",
            "address_2": "SUITE 740",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192479",
            "telephone_number": "615-345-6900",
            "fax_number": "615-345-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 S STATE ROAD 7",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146101",
            "telephone_number": "561-795-3330",
            "fax_number": "615-345-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH ENDOSCOPY AND SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "HOLST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF MANAGERS",
        "authorized_official_telephone_number": "615-345-6899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Acute Care Consultants, LLC
• Palm Beach Boutique Medicine
• Palm Beach Brain & Spine PA
• Palm Beach Brain and Spine, LLC
• Palm Beach Counseling Center LLC
• Palm Beach Gastroenterology Consultant Inc
• Palm Beach Gastroenterology Consultants LLC
• Palm Beach Hearing Associates, PLLC
• Palm Beach Massage Therapy, Inc
• Palm Beach Medicine LLC

• Ambulatory Surgical Clinic/Center in Wellington, FL
• Providers in Wellington, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.