Organization
CARROLLWOOD SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARAD PATEL MD (PROVIDER/OWNER)
(813) 933-3324
Entity
Organization
Contact information
Practice address
7171 N DALE MABRY HWY, STE 402, TAMPA, FL 33614-2630
(813) 933-3324
(813) 932-4357
Mailing address
PO BOX 21727, TAMPA, FL 33622-1727
(813) 933-3324
(813) 932-4357
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056480000
—
FL
01
—
161385100
US DOL
—
01
—
98045
BCBS
FL
01
—
CG0438
RRW MCR
—
Enumeration date
08/30/2006
Last updated
09/03/2010
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