WATERSIDE AMBULATORY SURGICAL CENTER LLC


Address: 2001 N Flagler Dr, West Palm Beach, FL 33407-6109
Phone: 5617218755

WATERSIDE AMBULATORY SURGICAL CENTER LLC (NPI# 1295739217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295739217
Entity Type Organization
Organization Name WATERSIDE AMBULATORY SURGICAL CENTER LLC
Practice Address 2001 N Flagler Dr
West Palm Beach
FL 33407-6109
Practice Telephone 5617218755
Practice Fax Number 5613401095
Enumeration Date 2005-06-08
Last Update Date 2020-08-19
Authorized Official Name LISA BOLOGNINI (CHIEF OPERATING OFFICER)
Authorized Official Telephone 5616596632
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
14960424 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 079106700 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972764363 Waterside Ambulatory Surgical Center LLC Anesthesiology 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 2008-06-19

Office Location

Street Address 2001 N FLAGLER DR
City WEST PALM BEACH
State FL
Zip Code 33407-6109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154619914 Sheryl Vanessa Rosa Cruz Internal Medicine 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 2011-07-14
1861700833 Gastro Group of The Palm Beaches LLP Internal Medicine 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 2010-09-23
1972764363 Waterside Ambulatory Surgical Center LLC Anesthesiology 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 2008-06-19
1356511273 Robert S Raymond Md Inc Internal Medicine 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 2008-03-06
1669661633 Jeffrey H Garelick Internal Medicine 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 2007-10-16
1689706830 Mark Hert Nurse Anesthetist, Certified Registered 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 2007-03-12
1043342199 Steven Krumholz Internal Medicine 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 2007-03-12
1477550846 Robert Steven Raymond Internal Medicine 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 2005-06-30
1477558203 Gastroenterology Group of The Palm Beaches, Pa Internal Medicine 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 2005-06-17
1083619829 Waterside Anesthesia Services, Inc. Anesthesiology 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 2005-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285252924 Tenet Florida Physician Services II, LLC Durable Medical Equipment & Medical Supplies 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 2020-07-09
1083248520 Robin Erickson, Ph.d., Inc. Clinic/Center 2151 45th St.# 200, West Palm Beach, FL 33407 2020-02-24
1487203428 Donmar Health Services, LLC Home Health 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 2019-09-11
1962064071 Sofia Thomas Nurse Practitioner 927 45th St Ste 102, Mangonia Park, FL 33407 2019-06-28
1093294803 Physical Therapy Now of Mangonia Park Clinic/Center 1748 45th St, West Palm Beach, FL 33407 2018-08-13
1437635943 Shanna Bhagan Physician Assistant 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 2018-07-17
1942786637 Frantz Lamour Counselor 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 2018-07-16
1013404706 Florida Medical Professionals LLC Hospitalist St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 2018-04-18
1265929012 Fantastic Wound Care LLC Registered Nurse 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 2018-04-17
1225530140 South Florida Spinal Neurosurgery Associates LLC Neurological Surgery 5851 Corporate Way, West Palm Beach, FL 33407 2018-03-07
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770048225 Baptist Surgery and Endoscopy Centers, LLC Clinic/Center 1117 N Olive Ave Ste 201, West Palm Beach, FL 33401-3520 2019-02-08
1992740674 2047 Palm Beach Lakes Partners LLC Clinic/Center 2047 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6500 2006-06-18
1245201425 Andre J Golino Md and Associates Pa Clinic/Center 130 Butler St, West Palm Beach, FL 33407-6106 2006-01-27
1841298437 West Palm Outpatient Surgery and Laser Center Ltd Clinic/Center 200 Northpoint Pkwy, West Palm Beach, FL 33407-1967 2005-07-08
1790241073 Hss Palm Beach Ambulatory Surgery Center, LLC Clinic/Center 300 Palm Beach Lakes Blvd, West Palm Beach, FL 33401-2711 2019-02-12
1770032153 Redirenu Surgical Group, LLC Clinic/Center 1117 N Olive Ave, Unit 201, West Palm Beach, FL 33401-3520 2016-09-27
1831561844 Baptist Surgery and Endoscopy Centers LLC Clinic/Center 1117 N Olive Ave Ste 201, West Palm Beach, FL 33401-3520 2015-10-29
1407227358 Baptist Surgery and Endoscopy Centers LLC Clinic/Center 200 Northpoint Pkwy, West Palm Beach, FL 33407-1967 2015-10-16
1033434485 Central Palm Beach Surgery Center, L.t.d. Clinic/Center 2047 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6522 2010-03-29
1609996230 Plastic Surgery Center, LLC Clinic/Center 1501 Forest Hill Blvd, West Palm Beach, FL 33406-6000 2007-03-29
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Competitor

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City WEST PALM BEACH
Zip Code 33407

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Dataset Information

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.

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