LEGACY SURGERY CENTER LLC NPI 1699256404

NPI Information

  • NPI: 1699256404
  • Provider Name: LEGACY SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 10D2071596
  • Address: 6918 GUNN HWY STE E
    TAMPA, FL
    ZIP 33625
  • Phone: (919) 329-2882

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NPI Details

LEGACY SURGERY CENTER LLC is an ambulatory surgical clinic center in Tampa, FL. LEGACY SURGERY CENTER LLC NPI is 1699256404. The provider is registered as an organization entity type.

The provider's business location address is:

6918 GUNN HWY STE E
TAMPA, FL
ZIP 33625-853
Phone: (919) 329-2882

The provider's authorized official is Richard Sean Rambo .
The authorized official title is Coo and has the following contact phone number (919) 329-2882.

The CLIA number assigned to this NPI record is 10D2071596 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)

The enumeration date for this NPI number is 8/29/2018 and was last updated on 8/29/2018.

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
1261QA1903XClinic/CenterAmbulatory Surgical1369FLORIDAYes

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: 11/21/2025

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