Organization
GULFSHORE ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (MARKET PRESIDENT)
(214) 213-0732
Entity
Organization
Contact information
Practice address
1084 GOODLETTE RD N, NAPLES, FL 34102-5449
(239) 435-9330
Mailing address
1084 GOODLETTE RD N, NAPLES, FL 34102-5449
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079206300
—
FL
01
—
490002958
RAILROAD MEDICARE PIN
FL
Enumeration date
05/28/2006
Last updated
01/11/2025
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