Provider Demographics
NPI:1558521633
Name:BOCA RATON CENTER FOR OFFICE SURGERY LLC
Entity Type:Organization
Organization Name:BOCA RATON CENTER FOR OFFICE SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RECIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-997-8991
Mailing Address - Street 1:6200 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-3230
Mailing Address - Country:US
Mailing Address - Phone:561-997-8991
Mailing Address - Fax:561-997-8927
Practice Address - Street 1:6200 N FEDERAL HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-3230
Practice Address - Country:US
Practice Address - Phone:561-997-8991
Practice Address - Fax:561-997-8927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty