Healthcare Provider Details

I. General information

NPI: 1689604886
Provider Name (Legal Business Name): SOUTH COUNTY OUTPATIENT SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16244 MILITARY TRL SUITE 670
DELRAY BEACH FL
33484-6534
US

IV. Provider business mailing address

16244 MILITARY TRL SUITE 670
DELRAY BEACH FL
33484-6534
US

V. Phone/Fax

Practice location:
  • Phone: 561-637-5808
  • Fax: 561-637-5848
Mailing address:
  • Phone: 561-637-5808
  • Fax: 561-637-5848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: COLLIN LEMAISTRE
Title or Position: OFFICER/AO
Credential:
Phone: 214-213-0732