Organization
TAMPA BAY OPHTHALMIC PLASTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA DENISE DEANGELIS MD (OWNER)
(727) 285-8006
Entity
Organization
Contact information
Practice address
28050 US HIGHWAY 19 N STE 402, CLEARWATER, FL 33761-2629
(727) 285-8006
(727) 216-6560
Mailing address
28050 US HIGHWAY 19 N STE 402, CLEARWATER, FL 33761-2629
(727) 285-8006
(727) 216-6560
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1380996
CAQH
FL
Enumeration date
06/02/2020
Last updated
12/16/2025
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