Organization
NORTH HABANA SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA A HALPERN MD (CEO, MEDICAL DIRECTOR)
(813) 872-2696
Entity
Organization
Contact information
Practice address
4214 N HABANA AVE, TAMPA, FL 33607-6314
(813) 872-2696
(813) 872-0268
Mailing address
4214 N HABANA AVE, TAMPA, FL 33607-6314
(813) 872-2696
(813) 872-0268
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME54308
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
07/01/2010
Last updated
07/01/2010
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