Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coral Ridge Outpatient Center LLC

Organization Gastroenterology Physician · NPI 1114126596

Coral Ridge Outpatient Center LLC is a Gastroenterology Physician in Oakland Park, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5301 N Dixie Hwy Ste 100
Oakland Park, FL 33334-3403
Phone: (954) 832-3300
Fax: (954) 832-3301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 1310 (FL)
Gastroenterology Physician Taxonomy 207RG0100X

Record details

NPI number1114126596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Collin Lemaistre — Officer / Authorized Official · (214) 213-0732
Other names Coral Ridge Outpatient Center
NPI enumeratedJuly 16, 2007
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024
Mailing address5301 N Dixie Hwy, Oakland Park, FL 33334

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