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Organization
BARKLEY SURGICENTER, LLC
Active
Organization
BARKLEY SURGICENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (MARKET PRESIDENT)
(214) 213-0732
Entity
Organization
Contact information
Practice address
63 BARKLEY CIR STE 104, FORT MYERS, FL 33907-4514
(239) 275-8452
(239) 274-3182
Mailing address
63 BARKLEY CIR STE 104, FORT MYERS, FL 33907-4514
(239) 275-8452
(239) 274-3182
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0857955
CIGNA
FL
01
—
490002295
RAILROAD MEDICARE
FL
01
—
63Q
BCBS
FL
01
—
8720114
AETNA
FL
Enumeration date
11/17/2005
Last updated
09/13/2024
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