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Organization
FKP TAMPA AMBULATORY SURGERY CENTER, LLC
Active
Organization
FKP TAMPA AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ELLENBURG (CHIEF OF PROVIDER GROUP OPERATIONS)
(480) 421-8745
Entity
Organization
Contact information
Practice address
514 EICHENFELD DR, BRANDON, FL 33511-5955
(813) 358-1568
(813) 200-1840
Mailing address
1 PARKWAY NORTH BLVD STE 200S, DEERFIELD, IL 60015-2534
(847) 388-2064
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
08/20/2025
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