Organization
SOUTH FLORIDA AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
6110 SW 70TH ST, SOUTH MIAMI, FL 33143-3419
(305) 662-3100
(305) 662-3102
Mailing address
6110 SW 70TH ST, SOUTH MIAMI, FL 33143-3419
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
800019126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075962700
—
FL
Enumeration date
09/05/2006
Last updated
01/14/2025
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