NPIMap

Organization Active NPI

Tampa Bay Surgery Center Midtown LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
National Provider Identifier
1720911316
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TAMPA BAY SURGERY CENTER MIDTOWN LLC
Practice address
2727 W Dr MLK Blvd Ste 150
Tampa, FL 33607-6003
Phone
(813) 961-8500
Fax
(831) 265-2564
NPI assigned
Jun 4, 2026
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Jack Ellis
Title
Regional Vice President Operations
Phone
(763) 464-9779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2727 W Dr MLK Blvd Ste 150
Tampa, FL 33607-6003

Mailing address

2727 W Dr MLK Blvd Ste 150
Tampa, FL 33607-6003
Phone (813) 961-8500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1720911316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W DR MLK BLVD STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076003",
            "telephone_number": "813-961-8500",
            "fax_number": "831-265-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MLK BLVD STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076003",
            "telephone_number": "813-961-8500",
            "fax_number": "831-265-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY SURGERY CENTER MIDTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "763-464-9779"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "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 Jun 4, 2026; 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.