TAMPA BAY EYE SURGERY CENTER LLC NPI 1326170036

NPI Information

NPI: 1326170036
Provider Name: TAMPA BAY EYE SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D1027195

Address:
1601 38TH AVE N
ST PETERSBURG, FL
ZIP 33713
Phone: (727) 822-4287
Get Directions

TAMPA BAY EYE SURGERY CENTER, LLC is an ambulatory surgical clinic center in St Petersburg, FL. TAMPA BAY EYE SURGERY CENTER, LLC NPI is 1326170036. The provider is registered as an organization entity type.

The provider's business location address is:

1601 38TH AVE N
ST PETERSBURG, FL
ZIP 33713-926
Phone: (727) 822-4287
Fax: (727) 822-1086

The provider's authorized official is Stephen A Updegraff .
The authorized official title is Medical Director and has the following contact phone number (727) 822-4287.

The CLIA number assigned to this NPI record is 10D1027195 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 9/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	1171	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F1396A	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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