NPI | 1992700090 |
---|---|
Doing Business As | TAMPA BAY SPECIALTY SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | PHILLIP A. CLENDENIN President 615-665-1283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1174) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2023-09-07 |