# STRABISMUS SURGEONS OF TAMPA LLC

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

## Provider details

- **NPI number:** 1588557458
- **Authorized official:** PHAEDRA L SHUDRA (CREDENTIALING AND CONTRACTING SPECI)
- **Authorized official phone:** (813) 785-4861

## Contact information

- **Practice address:** 5420 WEBB RD STE B2, TAMPA, FL 33615-3255
- **Practice address phone:** (606) 692-0789
- **Mailing address:** 5420 WEBB RD STE B2, TAMPA, FL 33615-3255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | NULL | Yes |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2025
- **Last updated:** 05/30/2025