Organization
TAMARAC SURGERY CENTER LLC
Active
Other names
The Surgery Center of Ft Lauderdale
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(469) 250-3640
Entity
Organization
Contact information
Practice address
4485 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5876
(954) 735-0096
(954) 735-8212
Mailing address
4485 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5876
(954) 735-0096
(954) 735-8212
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023073
—
FL
01
—
490004691
RAILROAD MEDICARE
FL
Enumeration date
07/10/2006
Last updated
10/20/2025
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