Lake City Surgery Center, LLC
Clinic/Center, Ambulatory Surgical in Lake City, FL. Organization (NPI-2).
NPI number1598965634
StatusActive
Last updated in NPPESJul 30, 2025
Details
- NPI
- 1598965634
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake City Surgery Center, LLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2007
- Certification date
- Jul 30, 2025
- Last updated
- Jul 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 1046 | FL | Yes |
Practice location
208 Sw Prosperity PlaceLake City, FL 32024
Phone 386-487-3930 · Fax 386-487-3935
Mailing address
208 Sw Prosperity PlaceLake City, FL 32024
Phone 386-487-3930 · Fax 386-487-3935
Authorized official
Collin Lemaistre
Officer/Authorized Official
2142130732
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