Organization
SURGCENTER OF ORANGE PARK, LLC
Active
Other names
Orange Park Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(214) 213-0723
Entity
Organization
Contact information
Practice address
805 WELLS RD FL 1, ORANGE PARK, FL 32073-2301
(904) 643-3326
(904) 592-9726
Mailing address
805 WELLS RD FL 1, ORANGE PARK, FL 32073-2301
(904) 643-3326
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
09/13/2024
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