Provider Demographics
NPI:1821624651
Name:TAMPA BAY RADIOSURGERY ASSOCIATES LLC
Entity Type:Organization
Organization Name:TAMPA BAY RADIOSURGERY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:P
Authorized Official - Last Name:FRANZESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-692-5838
Mailing Address - Street 1:7517 E VEVE LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-1145
Mailing Address - Country:US
Mailing Address - Phone:727-692-5838
Mailing Address - Fax:239-790-5050
Practice Address - Street 1:5935 WEBB RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3219
Practice Address - Country:US
Practice Address - Phone:813-884-7400
Practice Address - Fax:813-884-7445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty