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Organization
SURGCENTER OF ORANGE PARK, LLC
Active
Organization
SURGCENTER OF ORANGE PARK, LLC
Active
Other names
Orange Park Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(214) 213-0723
Entity
Organization
Contact information
Practice address
805 WELLS RD FL 1, ORANGE PARK, FL 32073-2301
(904) 643-3326
(904) 592-9726
Mailing address
805 WELLS RD FL 1, ORANGE PARK, FL 32073-2301
(904) 643-3326
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
09/13/2024
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