Organization
SURGERY CENTERS OF AMERICA, LLC
Active
Other names
West Tampa Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER Q BOWLIN JR. DDS (OWNER, AUTHORIZED OFFICIAL)
(813) 933-6228
Entity
Organization
Contact information
Practice address
10909 W LINEBAUGH AVE, SUITE 102, TAMPA, FL 33626-1741
(813) 933-6228
Mailing address
10909 W LINEBAUGH AVE, SUITE 102, TAMPA, FL 33626-1741
(813) 933-6228
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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