Organization
SOUTHEASTERN UROLOGICAL PARTNERS LLC
Active
Other names
Southeastern Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (PRESIDENT)
(214) 213-0732
Entity
Organization
Contact information
Practice address
2000 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308
(850) 878-9992
(850) 878-9637
Mailing address
2000 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308-4894
(850) 878-9992
(850) 878-9637
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67X
BCBS
FL
Enumeration date
05/05/2006
Last updated
11/12/2025
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