Organization
WESTSIDE OUTPATIENT CENTER, LLC
Active
Other names
PALMS WELLINGTON SURGICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WENDY A PAOLUCCI (BUSINESS OFFICE MANAGER)
(561) 792-7333
Entity
Organization
Contact information
Practice address
460 N STATE ROAD 7, ROYAL PALM BEACH, FL 33411-3514
(561) 792-7333
(561) 784-0312
Mailing address
460 N STATE ROAD 7, ROYAL PALM BEACH, FL 33411-3514
(561) 792-7333
(561) 784-0312
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ME53688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075145600
—
FL
01
—
63A
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
07/05/2006
Last updated
12/30/2024
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