Organization
MINIMALLY INVASIVE SURGICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI SHELTON DO (OWNER, PHYSICIAN)
(727) 274-1330
Entity
Organization
Contact information
Practice address
8142 BELLARUS WAY STE 101, TRINITY, FL 34655-1799
(727) 274-1330
(855) 274-0039
Mailing address
8142 BELLARUS WAY STE 101, TRINITY, FL 34655-1799
(727) 274-1330
(855) 274-0039
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS13410
FL
Other
Enumeration date
06/27/2017
Last updated
09/09/2019
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