PEDIATRIC SURGERY CENTER -ODESSA, LLC
NPI 1750565594
Clinic/Center - Ambulatory Surgical in Odessa, FL

Active since December 27, 2007
14111 STATE ROAD 54, ODESSA, FL 33556(813) 343-5690(813) 792-1845 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 17, 2024, Sep 11, 2024, Jul 26, 2017 (3 updates tracked since 2017).

About Pediatric Surgery Center -odessa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC SURGERY CENTER -ODESSA, LLC (NPI 1750565594) is a healthcare organization registered as an ambulatory surgical in Odessa, Florida and active in the NPI registry since December 2007. The organization lists Collin Lemaistre, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1750565594
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePEDIATRIC SURGERY CENTER -ODESSA, LLC
Location Address14111 STATE ROAD 54Odessa, FL 33556-3663
Mailing Address14111 State Road 54Odessa, FL 33556-3663 · (813) 343-5690 · Fax (813) 792-1845
Fax(813) 792-1845
Organization SubpartNo
Authorized OfficialCollin LemaistreAuthorized Official · (214) 213-0732
Enumeration DateDecember 27, 2007
Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1750565594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
14111 STATE ROAD 54, Odessa, FL 33556

Other Identifiers 2

Medicaid000348000FL
Medicaid007254600FL

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Gastroenterology)
14111 STATE ROAD 54
ODESSA, FL 33556
Anesthesiology (Pediatric Anesthesiology)
14111 STATE ROAD 54, PEDIATRIC SURGERY CENTERS
ODESSA, FL 33556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Surgery Center -Odessa, LLC's NPI number?

The NPI number for Pediatric Surgery Center -Odessa, LLC is 1750565594. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Pediatric Surgery Center -Odessa, LLC located?

Pediatric Surgery Center -Odessa, LLC is located at 14111 State Road 54, Odessa, FL 33556. The listed phone number is (813) 343-5690.

What is Pediatric Surgery Center -Odessa, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Pediatric Surgery Center -Odessa, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Pediatric Surgery Center -Odessa, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Surgery Center -Odessa, LLC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.