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NPI Code Detail

MEDICARE: SOUTH COUNTY OUTPATIENT SURGERY CENTER, LLC

MEDICARE: SOUTH COUNTY OUTPATIENT SURGERY CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00359237OTHERFLMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689604886
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH COUNTY OUTPATIENT SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 16244 MILITARY TRL
Second Line : SUITE 670
City : DELRAY BEACH
State : FL
Zip : 33484-6534
Country : US
Telephone Number : 561-637-5808
Fax Number : 561-637-5848
Provider Business Practice Location Address
First Line : 16244 MILITARY TRL
Second Line : SUITE 670
City : DELRAY BEACH
State : FL
Zip : 33484-6534
Country : US
Telephone Number : 561-637-5808
Fax Number : 561-637-5848
Authorized Official
Title or Position : OFFICER/AO
Name : COLLIN LEMAISTRE
Credential :
Telephone Number : 214-213-0732
Provider Enumeration Date : 07/04/2006
Last Update Date : 01/09/2026

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Directions to “SOUTH COUNTY OUTPATIENT SURGERY CENTER, LLC ” Practice Location

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