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Organization

SURGCENTER PINELLAS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(404) 781-2921
Entity
Organization

Contact information

Practice address
12416 66TH ST N, STE D, LARGO, FL 33773-3430
(727) 408-5310
Mailing address
12416 66TH ST STE D, LARGO, FL 33773-3430
(727) 408-5310
(727) 531-0360

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
06/24/2010
Last updated
09/10/2024
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