Minimally Invasive Surgical Affiliates, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MINIMALLY INVASIVE SURGICAL AFFILIATES, LLC

Practice address

2715 N Macdill Ave
Tampa, FL 33607-2205

Phone

(813) 280-0202

Fax

(813) 280-0203

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Talal Hamdan, MDNPI 1689625113

Title

Owner

Phone

(813) 280-0202

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Talal Hamdan, MD

  • Cardiovascular Disease Physician
  • Tampa, FL
  • NPI 1689625113
  NPD Authorized official

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1164010187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4706",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336774706",
            "telephone_number": "813-280-0202",
            "fax_number": "813-280-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 N MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072205",
            "telephone_number": "813-280-0202",
            "fax_number": "813-280-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SURGICAL AFFILIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "HAMDAN",
        "authorized_official_first_name": "TALAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-280-0202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.microsoft.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2715 N Macdill Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336072205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin Miner
• Lashawn Mingo
• Mattie B Mingo
• Andrew Mina Minias, D.D.S.
• Carla Cristina Miniet
• Katherine Minisee
• Piedad A Mink
• Brianna Angelique Minnar
• Heather Minnick, RBT
• Melissa Carolyn Minniti, PT,DPT

• Multi-Specialty Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.