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General NPI Number Information
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NPI Number | 1689188823
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Entity Type | Organization
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Legal Business Name | FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLC
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Dates
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Enumeration Date | 11/27/2017
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 5016 WEST CYPRESS STREET
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City | TAMPA
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State | FL
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Zip | 33607-3804
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Country | US
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Telephone | 813-542-2586
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Fax | 813-392-1975
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Provider Business Mailing Address
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Address Line | 13060 TELECOM PARKWAY N
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-0925
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Country | US
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Telephone | 813-972-4905
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Fax | 813-558-6441
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Authorized Official
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Title or Position | OFFICER/AUTHORIZED OFFICIAL
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Name | COLLIN LEMAISTRE
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Credential |
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Telephone | 214-213-0732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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