| Entity Name: | UNIVERSITY SURGERY CENTER, LTD. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Limited Partnership |
| Status: | Active |
| Date Filed: | 16 Oct 1998 (26 years ago) |
| Document Number: | A98000002382 |
| FEI/EIN Number | 74-2894406 |
| Mail Address: | 14201 Dallas Parkway, Dallas, TX, 75254, US |
| Address: | 7251 UNIVERSITY BLVD, WINTER PARK, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1003813221 | 2005-07-01 | 2024-10-24 | 14201 DALLAS PKWY, DALLAS, TX, 752542916, US | 7251 UNIVERSITY BLVD, STE 100, WINTER PARK, FL, 327928659, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-677-0066 |
| Fax | 4076774199 |
Authorized person
| Name | COLLIN LEMAISTRE |
| Role | OFFICER/AUTHORIZED OFFICIAL |
| Phone | 4692503640 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 890 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CAREPLUS |
| Number | 1003106 |
| Issuer | AV-MED |
| Number | 102150 |
| State | FL |
| Issuer | AETNA HMO |
| Number | 2106036 |
| Issuer | WELLCARE |
| Number | 21273 |
| Issuer | AETNA PPO |
| Number | 5481709 |
| Issuer | MEDICAID |
| Number | 079153900 |
| State | FL |
| Issuer | ORANGE COUNTY MEDICAL CEN |
| Number | 31315 |
| Issuer | BCBS |
| Number | 63R |
| State | FL |
| Issuer | UNITED |
| Number | 68-00006 |
| Issuer | AMERIGROUP |
| Number | 201347 |
| Issuer | FIRSTHEALTH CCN |
| Number | 757603 |
| Issuer | SOUTHCARE |
| Number | PO30482 |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G98338900022 | UNIVERSITY SURGICAL CENTER | ACTIVE | 1998-12-04 | 2029-12-31 | No data | 14201 DALLAS PKWY, FL 13, DALLAS, TX, 75254 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
