Organization
PARKCREEK SURGERY CENTER LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD FAMIGLIETTI (ADMINISTRATOR)
(954) 312-3507
Entity
Organization
Contact information
Practice address
6806 N STATE ROAD 7, COCONUT CREEK, FL 33073-4304
(954) 312-3507
(954) 312-3207
Mailing address
6806 N STATE ROAD 7, COCONUT CREEK, FL 33073-4304
(954) 312-3507
(954) 312-3207
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
FL
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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