# LARGO SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Bay Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831195379
- **Authorized official:** JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 1401 W BAY DR, LARGO, FL 33770-2207
- **Practice address phone:** (727) 585-9500
- **Practice address fax:** (727) 584-1938
- **Mailing address:** 1401 W BAY DR, LARGO, FL 33770-2207
- **Mailing address phone:** (727) 585-9500
- **Mailing address fax:** (727) 584-1938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 781 | FL | Yes |
| 291U00000X | Clinical Medical Laboratory | 800005342 | FL | — |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 06/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 070644200 | — | FL |
| 01 | — | 0771519008 | CIGNA | — |
| 01 | — | 691 | BLUE CROSS/BLUE SHIELD | FL |