Organization
TAMPA BAY HAND SURGERY CENTER, P.A.
Active
Other names
Tampa Bay Hand Center Ambulatory Surgery Division, P.A
Organization subpart
No
Provider details
NPI number
Authorized official
KHADER MUQTADIR M.D. (OWNER/PRESIDENT)
(813) 978-9494
Entity
Organization
Contact information
Practice address
13905 BRUCE B DOWNS BLVD, SUITE B, TAMPA, FL 33613-3998
(813) 978-9494
(813) 979-4817
Mailing address
13905 BRUCE B DOWNS BLVD, SUITE B, TAMPA, FL 33613-3998
(813) 978-9494
(813) 979-4817
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1078
FL STATE LICENSE
FL
01
—
16180500
DOL
FL
Enumeration date
03/08/2007
Last updated
02/18/2022
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