Surgcenter of Pine Ridge LLC
NPI #1285202077 in Bonita Springs, Florida
Provider Information
- NPI Number
- 1285202077
- Entity Type
- Organization
- Organization Name
- Surgcenter of Pine Ridge LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 16, 2021
- Last Updated
- Sep 10, 2024
Practice Location
- Address
- 12871 TRADE WAY DR
- Address 2
- STE 12
- City
- Bonita Springs
- State
- Florida
- ZIP Code
- 34135-7334
- Phone
- (239) 478-0051
Authorized Official
- Name
- COLLIN LEMAISTRE
- Title
- OFFICER/AUTHORIZED OFFICIAL
- Phone
- (214) 213-0732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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