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

Pediatric Surgery Center -Odessa, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1750565594

Pediatric Surgery Center -Odessa, LLC is an Ambulatory Surgical Clinic/Center in Odessa, 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

14111 State Road 54
Odessa, FL 33556-3663
Phone: (813) 343-5690
Fax: (813) 792-1845
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
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X (FL)

Record details

NPI number1750565594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Collin Lemaistre — Authorized Official · (214) 213-0732
NPI enumeratedDecember 27, 2007
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address14111 State Road 54, Odessa, FL 33556-3663

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