Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coral Ridge Outpatient Center LLC

Organization Gastroenterology Physician · NPI 1114126596

Coral Ridge Outpatient Center LLC provides Gastroenterology Physician services 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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