Organization
VILLAGES ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AO)
(214) 213-0732
Entity
Organization
Contact information
Practice address
10900 SE 174TH PLACE, SUMMERFIELD, FL 34491-8984
(352) 245-7427
Mailing address
10900 SE 174TH PLACE RD, SUMMERFIELD, FL 34491-8984
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
01/16/2025
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