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

Lake Endoscopy Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1750823886

Lake Endoscopy Center, LLC is an Ambulatory Surgical Clinic/Center in Summerfield, Florida. Registered with an NPI since 2016.

In the registry since
2016
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

17355 SE 109th Terrace Rd
Summerfield, FL 34491-8930
Phone: (352) 245-0846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1750823886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Collin Lemaistre — Officer/Authorized Official · (404) 781-2921
NPI enumeratedNovember 7, 2016
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address17355 Se 109th Terrace Rd, Summerfield, FL 34491

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