| Organization Name: | DOCTORS OUTPATIENT SURGERY CENTER OF JUPITER, LLC |
| NPI Number: | 1043303894 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET) |
| Mailing Address: | 3602 Kyoto Gardens Drive Palm Beach Gardens |
| State: | FL US |
| Postal Code: | 33410 |
| Phone Number: | 5617993388 |
| Fax Number: | 5617993389 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 1172 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |