Organization
AMBULATORY SURGERY CENTER OF BOCA RATON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH GUPTA MD (MEDICAL DIRECTOR)
(561) 544-5501
Entity
Organization
Contact information
Practice address
1905 CLINTMOORE ROAD, SUITE 300, BOCA RATON, FL 33496
(561) 544-5501
(561) 544-5528
Mailing address
1905 CLINTMOORE ROAD, SUITE 300, BOCA RATON, FL 33496
(561) 544-5501
(561) 544-5528
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
04/07/2011
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