Provider Demographics
NPI:1124851621
Name:THE ORTHOPEDIC SURGERY CENTER OF LOXAHATCHEE GROVES LLC
Entity type:Organization
Organization Name:THE ORTHOPEDIC SURGERY CENTER OF LOXAHATCHEE GROVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEXLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-694-7776
Mailing Address - Street 1:1005 W INDIANTOWN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6834
Mailing Address - Country:US
Mailing Address - Phone:561-630-6277
Mailing Address - Fax:561-630-6062
Practice Address - Street 1:15440 TANGERINE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LOXAHATCHEE GROVES
Practice Address - State:FL
Practice Address - Zip Code:33470-4838
Practice Address - Country:US
Practice Address - Phone:561-630-6277
Practice Address - Fax:561-630-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical