Organization
TAMPA BAY SPECIALTY SURGERY CENTER LLC
Active
Other names
Tampa Bay Specialty Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A. CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
6500 66TH STREET NORTH, PINELLAS PARK, FL 33781
(727) 828-1460
(727) 828-1469
Mailing address
6500 66TH STREET NORTH, PINELLAS PARK, FL 33781
(727) 828-1460
(727) 828-1469
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00095116
RAILROAD MEDICARE
FL
Enumeration date
06/15/2005
Last updated
09/07/2023
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