Active NPI
Tampa Surgical Assoc PA
- Specialist
- Tampa, FL
National Provider Identifier
1336339456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- TAMPA SURGICAL ASSOC PA
- Practice address
- 4700 N Habana Ave
Suite 403
Tampa, FL 33614-7160 - Phone
- (813) 877-1920
- Fax
- (813) 873-1304
- NPI assigned
- Jul 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jacqueline Gonzalez
- Title
- Practice Administrator
- Phone
- (813) 877-1920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4700 N Habana Ave
Suite 403
Tampa, FL 33614-7160
Mailing address
4700 N Habana Ave
Suite 403
Tampa, FL 33614-7160
Phone (813) 877-1920
National Provider Directory
National Provider DirectoryLocations
4700 N Habana Ave
Ste 403
Tampa, FL 33614
Phone (813) 876-9553
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Tampa, FL
- NPI 1093817454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1336339456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 N HABANA AVE",
"address_2": "SUITE 403",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147160",
"telephone_number": "813-877-1920",
"fax_number": "813-873-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 N HABANA AVE",
"address_2": "SUITE 403",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147160",
"telephone_number": "813-877-1920",
"fax_number": "813-873-1304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMPA SURGICAL ASSOC PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "813-877-1920",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.