PALM BEACH GARDENS REGIONAL SURGERY CENTER LLC (NPI# 1003205196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003205196 |
| Entity Type | Organization |
| Organization Name | PALM BEACH GARDENS REGIONAL SURGERY CENTER LLC |
| Practice Address |
11030 Rca Center Dr 3001 Palm Beach Gardens FL 33410-4276 |
| Mailing Address |
398 Camino Gardens Blvd 102 Boca Raton FL 33432-5827 |
| Practice Telephone | 5613923341 |
| Mailing Telephone | 5613923341 |
| Mailing Fax Number | 5613923341 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-20 |
| Authorized Official Name | ISAAC VERBUKH (OWNER PRESIDENT) |
| Authorized Official Telephone | 5613923341 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
11030 RCA CENTER DR 3001 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-4276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447214127 | Michael Ted Borenstein | Dermatology | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2006-04-12 |
| 1104277797 | Michele Owaski | Physician Assistant | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2016-06-25 |
| 1043550775 | Nicole Alley Hastaba | Physician Assistant | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2013-02-16 |
| 1962613943 | Vidya S Rajpara | Dermatology | 11030 Rca Center Dr, #3015, Palm Beach Gardens, FL 33410-4276 | 2007-05-24 |
| 1578780508 | Stacey Deese Brown | Nurse Practitioner | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2007-04-19 |
| 1639276694 | Shapiro and Borenstein Dermatology LLP | Dermatology | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2006-09-20 |
| 1477518892 | Susan Marie Mata | Dermatology | 11030 Rca Center Dr, Ste 3015, Palm Beach Gardens, FL 33410-4276 | 2006-04-19 |
| 1720043466 | Steven David Shapiro | Dermatology | 11030 Rca Center Dr, Suite 3015, Palm Beach Gardens, FL 33410-4276 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588954333 | Advanced Nursing Practice Inc. | Clinic/Center | 170 Isle Verde Way, Palm Beach Gardens, FL 33418-1708 | 2011-04-13 |
| 1043303894 | Doctors Outpatient Surgery Center of Jupiter, LLC | Clinic/Center | 3602 Kyoto Gardens Drive, Palm Beach Gardens, FL 33410 | 2006-10-02 |
| 1134183908 | North Palm Beach County Surgery Center LLC | Clinic/Center | 4000 Burns Rd, Palm Beach Gardens, FL 33410-4604 | 2006-04-17 |
| 1396211264 | Palm Beach Surgical Suites LLC | Clinic/Center | 4215 Burns Rd Ste 150, Palm Beach Gardens, FL 33410-4625 | 2018-10-18 |
| 1013360320 | Surgicath LLC | Clinic/Center | 3345 Burns Rd, Ste 106, Palm Beach Gardens, FL 33410-4324 | 2016-07-21 |
| 1770929044 | Surgcenter of Palm Beach Gardens | Clinic/Center | 900 Village Square Crossing, Suite 100, Palm Beach Gardens, FL 33410-4543 | 2013-05-14 |
| 1649456815 | Gardens Surgery Center, LLC | Clinic/Center | 2865 Pga Blvd, Palm Beach Gardens, FL 33410-2910 | 2008-01-17 |
| 1750570982 | Arturo K Guiloff Md Pa | Clinic/Center | 2865 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2910 | 2007-10-24 |
| 1346317039 | University of Miami | Clinic/Center | 7103 Fairway Dr, Palm Beach Gardens, FL 33418-3701 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
| 1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
Please comment or provide details below to improve the information on PALM BEACH GARDENS REGIONAL SURGERY CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.