Organization
SOUTH TAMPA SURGICAL PLLC
Active
Parent organization
LUTZ SURGICAL PARTNERS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTZ SURGICAL PARTNERS PLLC
Authorized official
DR. MIT DESAI MD (CEO)
(813) 866-1959
Entity
Organization
Contact information
Practice address
508 S HABANA AVE, SUITE 380, TAMPA, FL 33609-4181
(813) 875-9739
(813) 873-2603
Mailing address
508 S HABANA AVE, SUITE 380, TAMPA, FL 33609-4181
(813) 875-9739
(813) 873-2603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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