Organization Active NPI

Parkcreek Surgery Center LLLP

  • Ambulatory Surgical Clinic/Center
  • Coconut Creek, FL
National Provider Identifier
1467405837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PENDING Issued in FL
Legal business name
PARKCREEK SURGERY CENTER LLLP
Practice address
6806 N State Road 7
Coconut Creek, FL 33073-4304
Phone
(954) 312-3507
Fax
(954) 312-3207
NPI assigned
May 18, 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
Mr. Richard Famiglietti
Title
Administrator
Phone
(954) 312-3507

Specialties & licenses 1

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

Addresses

Primary practice location

6806 N State Road 7
Coconut Creek, FL 33073-4304

Mailing address

6806 N State Road 7
Coconut Creek, FL 33073-4304
Phone (954) 312-3507

National Provider Directory

National Provider Directory

Locations

6806 N State Road 7
Coconut Creek, FL 33073
Phone (954) 312-3350

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467405837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6806 N STATE ROAD 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734304",
            "telephone_number": "954-312-3507",
            "fax_number": "954-312-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6806 N STATE ROAD 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734304",
            "telephone_number": "954-312-3507",
            "fax_number": "954-312-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKCREEK SURGERY CENTER LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAMIGLIETTI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-312-3507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, 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.