St Augustine Endoscopy Center Llc

LBN: St Augustine Endoscopy Center Llc
St Augustine Endoscopy Center Llc is an health care organization with primary practice located at 212 Southpark Cir E , St Augustine FL 32086-5135. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. St Augustine Endoscopy Center Llc can be contacted via phone (904) 824-6108, or through Lemaistre, Collin via phone (469) 250-3640.

Contact Information

Primary practice address
212 Southpark Cir E St Augustine FL 32086-5135
Phone: (904) 824-6108
Fax: (904) 823-9613
Website:
Map and Directions
Authorized official contact:
Name: Lemaistre, Collin
Phone: (469) 250-3640

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 812 Florida

Profile Details

NPI number 1841251501
LBN Legal business name St Augustine Endoscopy Center Llc
DBA Doing business as
Authorized official Lemaistre, Collin
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2006
Last updated Feb 24th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841251501 NPPES
Florida MEDICAID 079055900

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