Active NPI
South Florida Ambulatory Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- South Miami, FL
National Provider Identifier
1265534556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 800019126
- Legal business name
- SOUTH FLORIDA AMBULATORY SURGICAL CENTER LLC
- Practice address
- 6110 SW 70TH St
South Miami, FL 33143-3419 - Phone
- (305) 662-3100
- Fax
- (305) 662-3102
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Collin Lemaistre
- Title
- Authorized Official
- Phone
- (214) 213-0732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 800019126 | FL | Primary |
Addresses
Primary practice location
6110 SW 70TH St
South Miami, FL 33143-3419
Mailing address
6110 SW 70TH St
South Miami, FL 33143-3419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075962700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040929000726 | FL | Part B Supplier - Ambulatory Surgical Center | 1153390844 | Practice locations: South Miami, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- South Florida Ambulatory Surgical Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1023747 | South Florida Ambulatory Surgical Center LLC | Certificate of waiver | Mar 23, 2028 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Baptist Health System
- Psychiatric Hospital Unit
- San Antonio, TX
- NPI 1487633509
Member Of
Networks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1265534556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 SW 70TH ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6110 SW 70TH ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433419",
"telephone_number": "305-662-3100",
"fax_number": "305-662-3102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH FLORIDA AMBULATORY SURGICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "LEMAISTRE",
"authorized_official_first_name": "COLLIN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "214-213-0732"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "800019126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075962700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Miami, FL
- Ana Victoria Soto-Quintela
- Enrique Soto
- Winston Soto
- Dan Sotolongo Jimenez, MD
- South Center Rehab, Inc
- South Florida Infectious Disease and Tropical Medicine Center LLC
- South Florida Institute for Laser Vaginal Rejuvenation, Inc
- South Florida Institute for Reproductive Medicine
- South Florida Jaw and Facial Surgery-Dental Implants Center PA
- South Florida Perinatal Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.