Provider Demographics
NPI:1568458784
Name:SURGERY CENTER AT WELLINGTON
Entity Type:Organization
Organization Name:SURGERY CENTER AT WELLINGTON
Other - Org Name:SURGER CENTER AT WELLINGTON
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:REXROTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-488-9394
Mailing Address - Street 1:1395 S STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-9326
Mailing Address - Country:US
Mailing Address - Phone:561-422-3934
Mailing Address - Fax:561-422-2899
Practice Address - Street 1:1395 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9326
Practice Address - Country:US
Practice Address - Phone:561-422-3934
Practice Address - Fax:561-422-2899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
F1421Medicare ID - Type Unspecified