Provider Demographics
NPI:1083959159
Name:OUTPATIENT SURGICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:OUTPATIENT SURGICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BUDAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-822-8216
Mailing Address - Street 1:100 E LINTON BLVD STE 301A
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3338
Mailing Address - Country:US
Mailing Address - Phone:561-274-1955
Mailing Address - Fax:775-227-2995
Practice Address - Street 1:100 E LINTON BLVD STE 301A
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3338
Practice Address - Country:US
Practice Address - Phone:561-274-1955
Practice Address - Fax:775-227-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies