# RETINA PHYSICIANS AND SURGEONS OF TAMPA BAY, LLC

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

## Provider details

- **NPI number:** 1588111975
- **Authorized official:** DANA M DEUPREE MD (OWNER)
- **Authorized official phone:** (727) 789-8770

## Contact information

- **Practice address:** 3280 N MCMULLEN BOOTH RD, SUITE 120, CLEARWATER, FL 33761-2029
- **Practice address phone:** (727) 789-8770
- **Practice address fax:** (727) 789-8774
- **Mailing address:** PO BOX 858, PALM HARBOR, FL 34682-0858
- **Mailing address phone:** (727) 789-8770
- **Mailing address fax:** (727) 789-8784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2016
- **Last updated:** 09/02/2016