Provider Demographics
NPI:1538664644
Name:TAMPA BAY SURGERY CENTER ASSOCIATES LTD
Entity Type:Organization
Organization Name:TAMPA BAY SURGERY CENTER ASSOCIATES LTD
Other - Org Name:CENTER FOR ADVANCED SURGICAL SPECIALIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-961-8500
Mailing Address - Street 1:11811 N DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-3505
Mailing Address - Country:US
Mailing Address - Phone:813-357-5915
Mailing Address - Fax:813-902-7307
Practice Address - Street 1:11911 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-3507
Practice Address - Country:US
Practice Address - Phone:813-961-8500
Practice Address - Fax:813-902-7307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical