Organization
SOUTH PALM AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY R COHEN MD (PRESIDENT)
(561) 981-8400
Entity
Organization
Contact information
Practice address
1905 CLINT MOORE RD, SUITE 115, BOCA RATON, FL 33496-2658
(561) 807-8090
(561) 807-8100
Mailing address
1905 CLINT MOORE RD, SUITE 115, BOCA RATON, FL 33496-2658
(561) 807-8090
(561) 807-8100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Enumeration date
08/03/2006
Last updated
09/30/2014
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