Organization
TITUSVILLE CENTER FOR SURGICAL EXCELLENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
814 S WASHINGTON AVE, TITUSVILLE, FL 32780-2406
(321) 567-6300
(321) 567-6320
Mailing address
814 S WASHINGTON AVE, TITUSVILLE, FL 32780-2406
(321) 567-6300
(321) 567-6320
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00934078
RAILROAD MEDICARE
FL
Enumeration date
01/19/2010
Last updated
09/10/2024
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