SUNRISE INTRACOASTAL PLASTIC SURGERY CENTER PA
NPI 1558008599
Clinic/Center - Ambulatory Surgical in Fort Lauderdale, FL
About Sunrise Intracoastal Plastic Surgery Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNRISE INTRACOASTAL PLASTIC SURGERY CENTER PA (NPI 1558008599) is a healthcare organization registered as an ambulatory surgical in Fort Lauderdale, Florida and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Juana De La Garza, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2290438
Sunrise Intracoastal Plastic Surgery Center, PA · Fort Lauderdale, FLOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sunrise Intracoastal Plastic Surgery Center PA's NPI number?
The NPI number for Sunrise Intracoastal Plastic Surgery Center PA is 1558008599. It was assigned to this organization in the NPPES registry on May 19, 2022.
Where is Sunrise Intracoastal Plastic Surgery Center PA located?
Sunrise Intracoastal Plastic Surgery Center PA is located at 910 NE 26th Ave, Fort Lauderdale, FL 33304. The listed phone number is (954) 533-8029.
What is Sunrise Intracoastal Plastic Surgery Center PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Sunrise Intracoastal Plastic Surgery Center PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2290438) is associated with this NPI, valid through September 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sunrise Intracoastal Plastic Surgery Center PA was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sunrise Intracoastal Plastic Surgery Center Pa · NPI 1558008599
Ambulatory Surgical organization in Fort Lauderdale, Florida. Organization record, active in the CMS NPPES registry since May 19, 2022.
## Identity
- **NPI:** 1558008599 (Entity type: Organization)
- **Enumerated:** May 19, 2022
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Also known as:** Sunrise Intracoastal Plastic Surgery Center PA (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Juana De La Garza, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 910 NE 26TH AVE, Fort Lauderdale, FL 33304-3607
- **Phone:** (954) 533-8029
## Record status
- **NPPES last updated:** May 19, 2022
- **Other identifiers:** Other OSR105 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1558008599) · Data from the CMS NPPES public registry.