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Organization
SURGCENTER OF PINE RIDGE LLC
Active
Organization
SURGCENTER OF PINE RIDGE LLC
Active
Other names
BONITA SPRINGS SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
12871 TRADE WAY DR, STE 12, BONITA SPRINGS, FL 34135-7334
(239) 478-0051
Mailing address
12871 TRADE WAY DR, STE 12, BONITA SPRINGS, FL 34135-7334
(239) 478-0051
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
09/10/2024
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