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Organization
NORTH TAMPA OUTPATIENT SURGICAL FACILITY LLC
Active
Organization
NORTH TAMPA OUTPATIENT SURGICAL FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVANAND MANGAR MD (OWNER)
(813) 844-4396
Entity
Organization
Contact information
Practice address
5329 PRIMROSE LAKE CIR, TAMPA, FL 33647-3521
(813) 844-4396
(813) 844-4972
Mailing address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
02/01/2010
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