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Organization
ATLANTIC SURGICAL CENTER, INC.
Active
Organization
ATLANTIC SURGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W. BEEBE (CEO)
(954) 946-3603
Entity
Organization
Contact information
Practice address
150 SW 12TH AVE, SUITE 201, POMPANO BEACH, FL 33069-3298
(954) 946-3603
(954) 781-2144
Mailing address
150 SW 12TH AVE, SUITE 450, POMPANO BEACH, FL 33069-3298
(954) 946-3603
(954) 781-2144
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705969-00
—
FL
01
—
169570900
US DEPT OF LABOR
FL
01
—
64X
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/29/2005
Last updated
01/22/2010
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