# PRESIDENTIAL SURGICENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134202740
- **Authorized official:** JAY S. WALLSHEIN MD. (PRESIDENT)
- **Authorized official phone:** (561) 689-7255

## Contact information

- **Practice address:** 1501 PRESIDENTIAL WAY, SUITE \#9, WEST PALM BEACH, FL 33401
- **Practice address phone:** (561) 689-7255
- **Practice address fax:** (561) 683-7342
- **Mailing address:** 1501 PRESIDENTIAL WAY, SUITE \#9, WEST PALM BEACH, FL 33401
- **Mailing address phone:** (561) 689-7255
- **Mailing address fax:** (561) 683-7342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 921 | FL | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 10/04/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 079229200 | — | FL |
| 01 | — | 490000914 | RAILROAD MEDICARE | FL |
| 01 | — | 61C | BC BS FL | FL |