| Organization Name: | SPECTRUM SURGICARE LLC |
| NPI Number: | 1033382965 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIBOR E POLCZ (MEDICAL DIRECTOR) |
| Mailing Address: | 10301 Hagen Ranch Rd Suite 710 Boynton Beach |
| State: | FL US |
| Postal Code: | 334373724 |
| Phone Number: | 5617366053 |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2008 |
| NPI Last Update Date: | 04/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | OSR498 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |