Active NPI
Surgery Center of Weston LLC
- Ambulatory Surgical Clinic/Center
- Weston, FL
National Provider Identifier
1730124561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1106
- Legal business name
- SURGERY CENTER OF WESTON LLC
- Practice address
- 2300 N Commerce Pkwy Ste 206
Weston, FL 33326-3256 - Phone
- (954) 217-5775
- Fax
- (954) 217-3152
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Liliana Lehmann
- Title
- Administrator
- Phone
- (954) 217-5775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1106 | FL | Primary |
Addresses
Primary practice location
2300 N Commerce Pkwy Ste 206
Weston, FL 33326-3256
Mailing address
PO Box 947043
Atlanta, GA 30394-7043
Phone (954) 217-5775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102026400 | Medicaid | FL | |
| 68N | Other | FL | BCBS OF FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070803000260 | FL | Part B Supplier - Ambulatory Surgical Center | 7517058621 | Practice locations: Weston, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgery Center of Weston LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2070287 | Surgery Center of Weston LLC | Certificate of waiver | Dec 11, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Weston, FL
- NPI 1417063728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1730124561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947043",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303947043",
"telephone_number": "954-217-5775",
"fax_number": "954-217-3152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N COMMERCE PKWY STE 206",
"city": "WESTON",
"state": "FL",
"postal_code": "333263256",
"telephone_number": "954-217-5775",
"fax_number": "954-217-3152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGERY CENTER OF WESTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "LEHMANN",
"authorized_official_first_name": "LILIANA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-217-5775"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "1106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102026400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "68N",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.