Minimally Invasive Surgical Specialists

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS13410 Issued in FL

Legal business name

MINIMALLY INVASIVE SURGICAL SPECIALISTS

Practice address

8142 Bellarus Way Ste 101
Trinity, FL 34655-1799

Phone

(727) 274-1330

Fax

(855) 274-0039

NPI assigned

Jun 27, 2017

Last updated

Sep 9, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffani Shelton, DO

Title

Owner, Physician

Phone

(727) 274-1330

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1114447521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8142 BELLARUS WAY STE 101",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551799",
            "telephone_number": "727-274-1330",
            "fax_number": "855-274-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8142 BELLARUS WAY STE 101",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551799",
            "telephone_number": "727-274-1330",
            "fax_number": "855-274-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "727-274-1330",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS13410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Miklus
• Simeon Miles, MD
• Hayley Miller
• Rory Elizabeth Mills, MD
• Mikel James Mineo, APRN
• Lindsay Mischler, PMHNP-BC
• Roberta Ann Mix, D.O.
• Erin Mockler Eaton
• William Cody Montgomery, OT
• Dan P. Montzka, MD

• Surgery Physician in Trinity, FL
• Providers in Trinity, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.