| NPI | 1114126596 |
|---|---|
| Other Name | CORAL RIDGE OUTPATIENT CENTER |
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Officer / Authorized Official 214-213-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1310) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2024-09-06 |