Healthcare Provider Details

I. General information

NPI: 1003813221
Provider Name (Legal Business Name): UNIVERSITY SURGERY CENTER LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7251 UNIVERSITY BLVD STE 100
WINTER PARK FL
32792-8659
US

IV. Provider business mailing address

14201 DALLAS PKWY
DALLAS TX
75254-2916
US

V. Phone/Fax

Practice location:
  • Phone: 407-677-0066
  • Fax: 407-677-4199
Mailing address:
  • Phone: 407-677-0066
  • Fax: 407-677-4199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number890
License Number StateFL

VIII. Authorized Official

Name: COLLIN LEMAISTRE
Title or Position: OFFICER/AUTHORIZED OFFICIAL
Credential:
Phone: 469-250-3640