Retina Physicians and Surgeons of Tampa Bay, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA PHYSICIANS AND SURGEONS OF TAMPA BAY, LLC

Practice address

3280 N McMullen Booth Rd
Suite 120
Clearwater, FL 33761-2029

Phone

(727) 789-8770

Fax

(727) 789-8774

NPI assigned

Sep 2, 2016

Organization subpart

No

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

Authorized official

Name

Dana M Deupree, MD

Title

Owner

Phone

(727) 789-8770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1588111975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346820858",
            "telephone_number": "727-789-8770",
            "fax_number": "727-789-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 120",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612029",
            "telephone_number": "727-789-8770",
            "fax_number": "727-789-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA PHYSICIANS AND SURGEONS OF TAMPA BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "DEUPREE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-789-8770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.