Organization
CORAL RIDGE OUTPATIENT CENTER LLC
Active
Other names
Coral Ridge Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER / AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
5301 N DIXIE HWY, SUITE 100, OAKLAND PARK, FL 33334-3403
(954) 832-3300
(954) 832-3301
Mailing address
5301 N DIXIE HWY, OAKLAND PARK, FL 33334
(954) 832-3300
(954) 832-3301
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1310
FL
Other
Enumeration date
07/16/2007
Last updated
09/06/2024
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