Organization
SURGERY CENTER OF TBOPLASTICS, LLC
Active
Other names
Surgery Center of TBOPlastics
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA DEANGELIS MD (OWNER)
(727) 285-8006
Entity
Organization
Contact information
Practice address
2963 GULF TO BAY BLVD STE 267, CLEARWATER, FL 33759-4255
(727) 285-8006
(727) 216-6560
Mailing address
1206 WESTLEY ST, SAFETY HARBOR, FL 34695-2709
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
01/11/2024
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