Organization
FLORIDA SURGERY CENTER ENTERPRISES LLC
Active
Other names
Tampa Outpatient Surgical Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN F. MARTIN RN (ADMINISTRATOR)
(813) 844-4434
Entity
Organization
Contact information
Practice address
5013 N ARMENIA AVE, TAMPA, FL 33603-1403
(813) 875-0562
(813) 871-5236
Mailing address
5013 N ARMENIA AVE, TAMPA, FL 33603-1403
(813) 875-0562
(813) 871-5236
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11115401
CITRUS CARE
FL
01
—
17348
WELLCARE/STAYWELL
FL
01
—
215471
AMERIGROUP
FL
01
—
60X
BLUE CROSS BLUE SHIELD
FL
01
—
626273
AETNA
FL
Enumeration date
06/24/2006
Last updated
07/25/2007
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