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Organization
TITUSVILLE CENTER FOR SURGICAL EXCELLENCE LLC
Active
Organization
TITUSVILLE CENTER FOR SURGICAL EXCELLENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
814 S WASHINGTON AVE, TITUSVILLE, FL 32780-2406
(321) 567-6300
(321) 567-6320
Mailing address
814 S WASHINGTON AVE, TITUSVILLE, FL 32780-2406
(321) 567-6300
(321) 567-6320
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00934078
RAILROAD MEDICARE
FL
Enumeration date
01/19/2010
Last updated
09/10/2024
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