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Organization
ST LUKES SURGICAL CENTER
Active
Organization
ST LUKES SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON DAVIS (CREDENTIALING/BILLING SUPERVISOR)
(727) 943-3111
Entity
Organization
Contact information
Practice address
43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
(727) 938-2020
(727) 943-3334
Mailing address
43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
(727) 938-2020
(727) 943-3334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/09/2006
Last updated
05/08/2008
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