Organization Active NPI

Southeast Florida Specialty Surgery Center, LLC

Doing business as Z Center for Advanced Surgery

  • Ambulatory Surgical Clinic/Center
  • Deerfield Beach, FL
National Provider Identifier
1497460240
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SOUTHEAST FLORIDA SPECIALTY SURGERY CENTER, LLC
Doing business as
Z Center for Advanced Surgery
Practice address
1801 W Sample Rd Ste 102
Deerfield Beach, FL 33064-1370
Phone
(754) 212-3248
Fax
(866) 250-5352
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Jennifer Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

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

Addresses

Primary practice location

1801 W Sample Rd Ste 102
Deerfield Beach, FL 33064-1370

Mailing address

1801 W Sample Rd Ste 102
Deerfield Beach, FL 33064-1370
Phone (754) 212-3248

Other names 1

  • Z Center for Advanced Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240617003601 FL Part B Supplier - Ambulatory Surgical Center 2769925833 Practice locations: Deerfield Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497460240. Details of each certification follow.

Ambulatory surgical center certification: CCN 10C0001772

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Z Center for Advanced Surgery
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Sep 17, 2025
Last certification
Sep 11, 2025
Ownership / control type
Proprietary
Facility address
1801 W Sample Rd, Ste 102
Pompano Beach, FL 33064

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2319659Z Center for Advanced Surgery1801 W Sample Rd #102, Deerfield Beach, FL 33064Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1497460240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W SAMPLE RD STE 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641370",
            "telephone_number": "754-212-3248",
            "fax_number": "866-250-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W SAMPLE RD STE 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641370",
            "telephone_number": "754-212-3248",
            "fax_number": "866-250-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST FLORIDA SPECIALTY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Z Center for Advanced Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.