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Organization

NW TAMPA SURGICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH WELLS AGUIAR MD (MANAGING MEMBER)
(813) 658-3600
Entity
Organization

Contact information

Practice address
12015 WHITMARSH LN, TAMPA, FL 33626-1737
(813) 658-3600
(813) 739-0917
Mailing address
12015 WHITMARSH LN, TAMPA, FL 33626-1737
(813) 658-3600
(813) 739-0917

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
ME82789
FL
261QM2500X
Medical Specialty Clinic/Center
Primary
ME82789
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01119
BCBS FL
FL
01
2002441
CCN FIRST HEALTH
01
7296502
AETNA
FL
Enumeration date
02/27/2012
Last updated
10/18/2012
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