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Organization
CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC
Active
Organization
CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC
Active
Other names
CHARLOTTE SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
23970 SUNCOAST BLVD, PORT CHARLOTTE, FL 33980-2739
(941) 625-3636
(941) 764-7542
Mailing address
23970 SUNCOAST BLVD, PORT CHARLOTTE, FL 33980-2739
(941) 625-3636
(941) 764-7542
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075366100
—
FL
01
—
69Z
BC/BS FLORIDA
FL
Enumeration date
09/21/2005
Last updated
08/15/2025
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