# MINIMALLY INVASIVE SURGICAL AFFILIATES, LLC

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

## Provider details

- **NPI number:** 1164010187
- **Authorized official:** TALAL HAMDAN MD (OWNER)
- **Authorized official phone:** (813) 280-0202

## Contact information

- **Practice address:** 2715 N MACDILL AVE, TAMPA, FL 33607-2205
- **Practice address phone:** (813) 280-0202
- **Practice address fax:** (813) 280-0203
- **Mailing address:** PO BOX 4706, TAMPA, FL 33677-4706
- **Mailing address phone:** (813) 280-0202
- **Mailing address fax:** (813) 280-0203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2021
- **Last updated:** 01/05/2021