Organization
WEST PALM BEACH CHILDREN'S SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN LARSEN (CEO)
(631) 445-0593
Entity
Organization
Contact information
Practice address
1620 S CONGRESS AVE STE 100, PALM SPRINGS, FL 33461-2128
(561) 968-2007
(561) 968-1046
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1216
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119589000
—
FL
Enumeration date
09/07/2006
Last updated
02/20/2026
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