Organization
PEDIATRIC SURGERY CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
10080 BALAYE RUN DR, TAMPA, FL 33619-7902
(813) 490-6100
(813) 490-6105
Mailing address
10080 BALAYE RUN DR, TAMPA, FL 33619-7902
(813) 490-6100
(813) 490-6105
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1218
FL
Other
Enumeration date
10/27/2005
Last updated
10/15/2024
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