# ST LUKES SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063453082
- **Authorized official:** MRS. SHARON DAVIS (CREDENTIALING/BILLING SUPERVISOR)
- **Authorized official phone:** (727) 943-3111

## Contact information

- **Practice address:** 43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
- **Practice address phone:** (727) 938-2020
- **Practice address fax:** (727) 943-3334
- **Mailing address:** 43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
- **Mailing address phone:** (727) 938-2020
- **Mailing address fax:** (727) 943-3334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 05/08/2008