Organization
PRESIDENTIAL SURGICENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY S. WALLSHEIN MD. (PRESIDENT)
(561) 689-7255
Entity
Organization
Contact information
Practice address
1501 PRESIDENTIAL WAY, SUITE #9, WEST PALM BEACH, FL 33401
(561) 689-7255
(561) 683-7342
Mailing address
1501 PRESIDENTIAL WAY, SUITE #9, WEST PALM BEACH, FL 33401
(561) 689-7255
(561) 683-7342
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079229200
—
FL
01
—
490000914
RAILROAD MEDICARE
FL
01
—
61C
BC BS FL
FL
Enumeration date
10/24/2006
Last updated
10/04/2018
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