LAKE CITY SURGERY CENTER, LLC – NPI #1598965634
Clinic/Center

LAKE CITY SURGERY CENTER, LLC is an AHC clinic located in LAKE CITY, FL. NPPES has assigned the NPI number 1598965634 to LAKE CITY SURGERY CENTER, LLC on July 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jul 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE CITY SURGERY CENTER, LLC below.

NPI Profile for
LAKE CITY SURGERY CENTER, LLC

NPI Number
1598965634
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE CITY SURGERY CENTER, LLC
Primary location
208 SW PROSPERITY PLACE
LAKE CITY, FL 32024
Phone: (386) 487-3930 Fax: (386) 487-3935
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
COLLIN LEMAISTRE
OFFICER/AUTHORIZED OFFICIAL
Phone: (214) 213-0732
Updated
Certification Date
Jul 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LAKE CITY SURGERY CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherASC MEDICARE IDENTIFICATIFL10-C0001276
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 FL 1046

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.