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Organization
SOUTHEASTERN UROLOGICAL PARTNERS LLC
Active
Organization
SOUTHEASTERN UROLOGICAL PARTNERS LLC
Active
Other names
Southeastern Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (PRESIDENT)
(214) 213-0732
Entity
Organization
Contact information
Practice address
2000 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308
(850) 878-9992
(850) 878-9637
Mailing address
2000 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308-4894
(850) 878-9992
(850) 878-9637
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67X
BCBS
FL
Enumeration date
05/05/2006
Last updated
11/12/2025
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