Provider Demographics
NPI:1114530888
Name:CITY SURGERY CENTER INC
Entity Type:Organization
Organization Name:CITY SURGERY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDEBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-666-8331
Mailing Address - Street 1:201 N PINE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1819
Mailing Address - Country:US
Mailing Address - Phone:954-666-8331
Mailing Address - Fax:954-666-8332
Practice Address - Street 1:201 N PINE ISLAND RD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1819
Practice Address - Country:US
Practice Address - Phone:954-666-8331
Practice Address - Fax:954-666-8332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL85237598OtherSELF PAY