Organization
TAMPA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HUNTER NEWSOM M.D. (PRESIDENT)
(813) 968-3937
Entity
Organization
Contact information
Practice address
13904 N DALE MABRY HWY, SUITE 100, TAMPA, FL 33618-2446
(813) 968-3937
(813) 969-1002
Mailing address
13904 N DALE MABRY HWY, SUITE 100, TAMPA, FL 33618-2446
(813) 968-3937
(813) 969-1002
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023256187
MEDICARE PTAN
FL
Enumeration date
01/28/2009
Last updated
10/21/2020
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