Active NPI
South County Outpatient Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Delray Beach, FL
National Provider Identifier
1689604886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SOUTH COUNTY OUTPATIENT SURGERY CENTER, LLC
- Practice address
- 16244 Military TRL
Suite 670
Delray Beach, FL 33484-6534 - Phone
- (561) 637-5808
- Fax
- (561) 637-5848
- NPI assigned
- Jul 4, 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
- Officer/Ao
- Phone
- (214) 213-0732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
16244 Military TRL
Suite 670
Delray Beach, FL 33484-6534
Mailing address
16244 S Military TRL Ste 670
Delray Beach, FL 33484-6532
Phone (561) 637-5808
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00359237 | Other | FL | MEDICARE RAILROAD |
| 0767140 00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061006000050 | FL | Part B Supplier - Ambulatory Surgical Center | 8921004466 | Practice locations: Delray Beach, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- South County Outpatient Surgery Center
- 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 |
|---|---|---|---|
| 10D1051383 | South County Outpatient Surgery Center LLC | Certificate of waiver | Jan 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
16244 S Military Trl
Ste 670
Delray Beach, FL 33484
Phone (561) 637-5808
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Other Technician
- Miami, FL
- NPI 1063548402
-
- Ophthalmology Physician
- Delray Beach, FL
- NPI 1265475289
-
- Ophthalmology Physician
- West Palm Beach, FL
- NPI 1700278710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782432000000",
"number": "1689604886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16244 S MILITARY TRL STE 670",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846532",
"telephone_number": "561-637-5808",
"fax_number": "561-637-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16244 MILITARY TRL",
"address_2": "SUITE 670",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846534",
"telephone_number": "561-637-5808",
"fax_number": "561-637-5848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH COUNTY OUTPATIENT SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "LEMAISTRE",
"authorized_official_first_name": "COLLIN",
"authorized_official_title_or_position": "OFFICER/AO",
"authorized_official_telephone_number": "214-213-0732"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00359237",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0767140 00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
- Sound Recovery Solutions, LLC
- South County Mental Health Center
- South County Mental Health Center
- South County Mental Health Center, Inc.
- South County Mental Health Center, Inc.
- South County Urology PA
- South Florida Back Spine and Scoliosis
- South Florida Bariatrics, LLC
- South Florida Foot & Ankle Center
- South Florida Golden Age Care PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.