Organization Active NPI

Delray Ambulatory Surgical & Laser Center

  • Ambulatory Surgical Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1417994856
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
789 Issued in FL
Legal business name
DELRAY AMBULATORY SURGICAL & LASER CENTER
Practice address
4800 Linton Blvd
BLDG B
Delray Beach, FL 33445
Phone
(561) 495-9111
Fax
(561) 495-6766
NPI assigned
Jun 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deborah Howard
Title
Business Manager Dir
Phone
(561) 495-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 789 FL Primary

Addresses

Primary practice location

4800 Linton Blvd
BLDG B
Delray Beach, FL 33445

Mailing address

4800 Linton Blvd
BLDG B
Delray Beach, FL 33445
Phone (561) 495-9111

Other identifiers 2

IdentifierTypeStateIssuer
1023388OtherFLCAREPLUS
64UOtherFLBC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417994856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD",
            "address_2": "BLDG B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-495-9111",
            "fax_number": "561-495-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD",
            "address_2": "BLDG B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-495-9111",
            "fax_number": "561-495-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY AMBULATORY SURGICAL & LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BUSINESS MANAGER DIR",
        "authorized_official_telephone_number": "561-495-9111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1023388",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "64U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.