South Palm Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTH PALM AMBULATORY SURGERY CENTER, LLC

Practice address

1905 Clint Moore Rd
Suite 115
Boca Raton, FL 33496-2658

Phone

(561) 807-8090

Fax

(561) 807-8100

NPI assigned

Aug 3, 2006

Last updated

Sep 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory R Cohen, MDNPI 1275646937

Title

President

Phone

(561) 981-8400

Specialties & licenses 1

Addresses

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.

• Gregory R Cohen, MD

  • Ophthalmology Physician
  • Boca Raton, FL
  • NPI 1275646937
  Authorized official Same address or phone

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1285642652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 115",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-807-8090",
            "fax_number": "561-807-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 115",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-807-8090",
            "fax_number": "561-807-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PALM AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-981-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Surgical Specialists, LLC
• South Florida Surgical Specialists, LLC
• South Florida Surgical Specialists, LLC
• South Florida Therapy for Families PLLC
• South Florida TMS LLC.
• South Palm Beach Health Group PLLC
• South Palm Beach Medical Associates, PA
• South Palm Beach Surgical Associates, PL
• South Palm Orthospine Institute
• South Palm Physical Therapy Services Inc

• Ambulatory Surgical Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, 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 Sep 30, 2014; 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.