Provider Demographics
NPI:1033382965
Name:SPECTRUM SURGICARE LLC
Entity Type:Organization
Organization Name:SPECTRUM SURGICARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIBOR
Authorized Official - Middle Name:E
Authorized Official - Last Name:POLCZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-736-6053
Mailing Address - Street 1:9868 S STATE RD 7
Mailing Address - Street 2:SUITE 320
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-4477
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9868 S STATE RD 7
Practice Address - Street 2:SUITE 320
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4477
Practice Address - Country:US
Practice Address - Phone:561-736-6053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOSR1134261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical