Advanced Surgical Center, LLC

Key facts

NPI

1639237183

Entity type

Organization (NPI type 2)

Primary specialty

Ambulatory Surgical Clinic/Center 261QA1903X

License

1234 (FL)

Legal business name

ADVANCED SURGICAL CENTER, LLC

Practice address

201 N Pine Island Rd
Plantation, FL 33324-1840

Phone

(954) 358-1260

Fax

(954) 320-4181

NPI assigned

Dec 5, 2006

Organization subpart

No

Authorized official

Name

Dr. Mick Abae, MD

Title

President

Phone

(954) 587-2273

National Provider Directory

Specialties & licenses

Addresses

Other names

• Plantation Surgery Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 31, 2017.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1639237183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N. PINE ISLAND RD.",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-358-1260",
            "fax_number": "954-358-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PINE ISLAND RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241840",
            "telephone_number": "954-358-1260",
            "fax_number": "954-320-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "ABAE",
        "authorized_official_first_name": "MICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-587-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "108032",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plantation Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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