Organization
EMERALD COAST ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
200 MACK BAYOU RD, SANTA ROSA BEACH, FL 32459-3101
(469) 872-4706
Mailing address
200 MACK BAYOU RD, SANTA ROSA BEACH, FL 32459-3101
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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