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Organization
CORAL RIDGE OUTPATIENT CENTER LLC
Active
Organization
CORAL RIDGE OUTPATIENT CENTER LLC
Active
Other names
Coral Ridge Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER / AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
5301 N DIXIE HWY, SUITE 100, OAKLAND PARK, FL 33334-3403
(954) 832-3300
(954) 832-3301
Mailing address
5301 N DIXIE HWY, OAKLAND PARK, FL 33334
(954) 832-3300
(954) 832-3301
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1310
FL
Other
Enumeration date
07/16/2007
Last updated
09/06/2024
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