Organization
COLUMBIA EYE AND SPECIALTY SURGERY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
4302 N GOMEZ AVE, TAMPA, FL 33607-6312
(813) 870-6330
(813) 871-3956
Mailing address
4302 N GOMEZ AVE, TAMPA, FL 33607-6312
(813) 870-6330
(813) 871-3956
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062949900
—
FL
Enumeration date
04/17/2006
Last updated
02/06/2018
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