Organization
CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC
Active
Other names
CHARLOTTE SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
23970 SUNCOAST BLVD, PORT CHARLOTTE, FL 33980-2739
(941) 625-3636
(941) 764-7542
Mailing address
23970 SUNCOAST BLVD, PORT CHARLOTTE, FL 33980-2739
(941) 625-3636
(941) 764-7542
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075366100
—
FL
01
—
69Z
BC/BS FLORIDA
FL
Enumeration date
09/21/2005
Last updated
08/15/2025
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