MEDICARE: UNIVERSITY SURGERY CENTER LTD

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
1	261QA1903X	Ambulatory Surgical Clinic/Center	890	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1003106	OTHER		CAREPLUS
2	102150	OTHER	FL	AV-MED
3	2106036	OTHER		AETNA HMO
4	21273	OTHER		WELLCARE
5	5481709	OTHER		AETNA PPO
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	31315	OTHER		ORANGE COUNTY MEDICAL CEN
8	63R	OTHER	FL	BCBS
9	68-00006	OTHER		UNITED
10	201347	OTHER		AMERIGROUP
11	757603	OTHER		FIRSTHEALTH CCN
12	PO30482	OTHER		SOUTHCARE
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003813221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY SURGERY CENTER LTD

Provider Business Mailing Address
First Line	:	14201 DALLAS PKWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-2916
Country	:	US
Telephone Number	:	407-677-0066
Fax Number	:	407-677-4199

Provider Business Practice Location Address
First Line	:	7251 UNIVERSITY BLVD
Second Line	:	STE 100
City	:	WINTER PARK
State	:	FL
Zip	:	32792-8659
Country	:	US
Telephone Number	:	407-677-0066
Fax Number	:	407-677-4199

Authorized Official
Title or Position	:	OFFICER/AUTHORIZED OFFICIAL
Name	:	COLLIN LEMAISTRE
Credential	:
Telephone Number	:	469-250-3640

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	12/10/2025

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Directions to “UNIVERSITY SURGERY CENTER LTD ” Practice Location

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