Organization
PALM BEACH OUTPATIENT SURGICAL CENTER, LLC
Active
Other names
Palm Beach Outpatient Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MADONNA W COFFMAN (PRESIDENT)
(561) 576-8436
Entity
Organization
Contact information
Practice address
2889 10TH AVE N STE 203, PALM SPRINGS, FL 33461-3045
(561) 469-6208
(561) 725-8795
Mailing address
2889 10TH AVE N STE 306, PALM SPRINGS, FL 33461-3045
(561) 964-0707
(561) 467-4175
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
854
FL
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105133600
—
FL
01
—
P00147666
RR MEDICARE
—
Enumeration date
06/30/2005
Last updated
08/13/2025
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