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Organization
DOCTORS OUTPATIENT SURGERY CENTER OF JUPITER, LLC
Active
Organization
DOCTORS OUTPATIENT SURGERY CENTER OF JUPITER, LLC
Active
Other names
Laser & Surgery Center of the Palm Beaches
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
3602 KYOTO GARDENS DRIVE, PALM BEACH GARDENS, FL 33410
(561) 799-3388
(561) 799-3389
Mailing address
3602 KYOTO GARDENS DRIVE, PALM BEACH GARDENS, FL 33410
(561) 799-3388
(561) 799-3389
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070793700
—
FL
Enumeration date
10/02/2006
Last updated
09/17/2024
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