Organization
THE SURGERY CENTER AT JENSEN BEACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICAL)
(214) 213-0723
Entity
Organization
Contact information
Practice address
3995 NW GOLDEN ROD ROAD, JENSEN BEACH, FL 34957
(772) 497-0020
(772) 497-0021
Mailing address
3995 NW GOLDEN ROD ROAD, JENSEN BEACH, FL 34957
(772) 497-0020
(772) 497-0021
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075781100
—
FL
Enumeration date
04/26/2006
Last updated
12/04/2024
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