Organization
PSHS ALPHA PARTNERS LLC
Active
Other names
Lake Worth Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER B. BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
7408 LAKE WORTH RD STE 900, LAKE WORTH, FL 33467-2502
(561) 433-5700
(561) 433-5901
Mailing address
7408 LAKE WORTH RD STE 900, LAKE WORTH, FL 33467-2502
(561) 433-5700
(561) 433-5901
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705721-00
—
FL
01
—
170233100
US DEPT OF LABOR
FL
01
—
67G
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/29/2005
Last updated
05/09/2024
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