NPIMap

Organization Active NPI

Sanctuary Surgical & Anesthesia Center

  • Ambulatory Surgical Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1952689911
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SANCTUARY SURGICAL & ANESTHESIA CENTER
Practice address
40 SE 5TH St
Suite 406
Boca Raton, FL 33432-6003
Phone
(561) 368-7118
Fax
(561) 368-7116
NPI assigned
Jul 25, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Carolyn Via
Title
Ceo
Phone
(561) 368-7118

Specialties & licenses 1

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

Addresses

Primary practice location

40 SE 5TH St
Suite 406
Boca Raton, FL 33432-6003

Mailing address

40 SE 5TH St
Suite 406
Boca Raton, FL 33432-6003
Phone (561) 368-7118

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1952689911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SE 5TH ST",
            "address_2": "SUITE 406",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326003",
            "telephone_number": "561-368-7118",
            "fax_number": "561-368-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SE 5TH ST",
            "address_2": "SUITE 406",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326003",
            "telephone_number": "561-368-7118",
            "fax_number": "561-368-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY SURGICAL & ANESTHESIA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "VIA",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-368-7118"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.