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Organization

ADVANCED SURGICAL CARE OF CLEARWATER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER / AUTHORIZED OFFICIAL)
(214) 213-0723
Entity
Organization

Contact information

Practice address
93 N PARK PLACE BLVD STE 102, CLEARWATER, FL 33759-3917
(727) 742-3564
Mailing address
93 N PARK PLACE BLVD STE 102, CLEARWATER, FL 33759-3929
(727) 742-3564

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
03/11/2020
Last updated
09/10/2024
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