Provider Profile
PALMETTO LAKES SURGICAL CENTER
Ambulatory Surgical Center
FACILITY PROFILE
Accredited by: Joint Commission
Street Address
- 2100 W 76TH ST STE 101
HIALEAH, FL 33016
County: Miami-Dade - Phone: (305) 403-2560
Mailing Address
- 2100 W 76TH ST STE 101
HIALEAH, FL 33016
County: Miami-Dade - Phone: (305) 403-2560
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Facility Information:
Facility/Provider Type: | Ambulatory Surgical Center | |||||||||
Administrator: | DAMARYS VEGA | |||||||||
Financial Officer: | DAMARYS VEGA | |||||||||
Owner/Licensee: | PALMETTO LAKES SURGICAL CENTER, LLC | |||||||||
Owner/Licensee Since: | 9/24/2009 | |||||||||
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Profit Status: | For-Profit | |||||||||
Management Company: | Not Available | |||||||||
Manager Since: | Not Available | |||||||||
Licensed Beds: | Not Available | |||||||||
Bed Types: | Operating Rooms: 4 Recovery Beds: 17 | |||||||||
AHCA Number (File Number): | 14960525 | |||||||||
AHCA Field Office: | 11 | |||||||||
License Number: | 1348 | |||||||||
Current License Effective: | 1/12/2024 | |||||||||
Current License Expires: | 1/11/2026 | |||||||||
License Status: | LICENSED |
Services/Characteristics
Not Available
Legal Actions
Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
---|---|---|---|---|---|
3/5/2019 | 2019003197 | Fine | Reporting | $300.00 | 4/3/2019 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.