PALM BEACH OUTPATIENT SURGICAL CENTER, LLC – NPI #1306843867
Clinic/Center

PALM BEACH OUTPATIENT SURGICAL CENTER, LLC is an AHC clinic located in PALM SPRINGS, FL. NPPES has assigned the NPI number 1306843867 to PALM BEACH OUTPATIENT SURGICAL CENTER, LLC on June 30, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QS0132X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ophthalmologic Surgery

The NPI profile was last updated on Aug 13, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PALM BEACH OUTPATIENT SURGICAL CENTER, LLC below.

NPI Profile for
PALM BEACH OUTPATIENT SURGICAL CENTER, LLC

NPI Number
1306843867
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PALM BEACH OUTPATIENT SURGICAL CENTER, LLC
Primary location
2889 10TH AVE N STE 203
PALM SPRINGS, FL 33461-3045
Phone: (561) 469-6208 Fax: (561) 725-8795
Mailing address
2889 10TH AVE N STE 306
PALM SPRINGS, FL 33461-3045
Phone: (561) 964-0707 Fax: (561) 467-4175
Organization Subpart
No
Authorized Official
MADONNA COFFMAN
PRESIDENT
Phone: (561) 576-8436
Updated
Certification Date
Aug 13, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PALM BEACH OUTPATIENT SURGICAL CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRR MEDICAREP00147666
medicaidFL105133600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0132X
- Clinic/Center / Ophthalmologic Surgery (Primary)
261QA1903X
- Clinic/Center / Ambulatory Surgical
FL 854

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.