Organization
NORTH TAMPA OUTPATIENT SURGICAL FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVANAND MANGAR MD (OWNER)
(813) 844-4396
Entity
Organization
Contact information
Practice address
5329 PRIMROSE LAKE CIR, TAMPA, FL 33647-3521
(813) 844-4396
(813) 844-4972
Mailing address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
02/01/2010
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