Organization
HABANA AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HELMS (CHIEF EXECUTIVE OFFICER)
(813) 549-2134
Entity
Organization
Contact information
Practice address
4726 N HABANA AVE STE 100, TAMPA, FL 33614-7144
(813) 769-8855
(813) 514-0231
Mailing address
PO BOX 628766, ORLANDO, FL 32862-8766
(813) 549-2134
(813) 569-1759
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
04/20/2016
Last updated
06/26/2023
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