NPI | 1063417285 |
---|---|
Doing Business As | TAMPA BAY REGIONAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1184) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 1184) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2021-06-07 |