Organization Active NPI

Intralign FL LLC

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1609036110
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
INTRALIGN FL LLC
Practice address
12880 Commodity Place
Tampa, FL 33626-3101
Phone
(813) 343-5500
Fax
(813) 343-5506
NPI assigned
Jun 10, 2008
Last updated
Nov 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Mrs. Sandra Patricia Collins
Title
Director, Central Billing Operation
Phone
(813) 343-5500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU
Surgery Physician 208600000X NU Primary
Registered Nurse First Assistant 163WR0006X NU

Addresses

Primary practice location

12880 Commodity Place
Tampa, FL 33626-3101

Mailing address

PO Box 21686
Tampa, FL 33622-1686
Phone (813) 343-5500

Other names 1

  • United Surgical Assistants Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

12880 Commodity Pl
Tampa, FL 33626
Phone (877) 468-2211

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1609036110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21686",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336221686",
            "telephone_number": "813-343-5500",
            "fax_number": "813-343-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 COMMODITY PLACE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263101",
            "telephone_number": "813-343-5500",
            "fax_number": "813-343-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRALIGN FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR, CENTRAL BILLING OPERATION",
        "authorized_official_telephone_number": "813-343-5500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Surgical Assistants Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 25, 2015; 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.