Organization Name:  BETHESDA OUTPATIENT SURGERY CENTER LLC


Practice Location:
10301 HAGEN RANCH RD SUITE 520 BOYNTON BEACH, FL 33437 US
Tel: 561-374-5550  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	FL	935
Y	282N00000X	Hospitals General Acute Care Hospital

Other Provider Identifiers:

Issuer	Number	State	Type
	079215200	FL	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin