Organization
PALM BEACH OUTPATIENT SURGICAL CENTER, LLC
Active
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
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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