South Bay Surgical Group PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME62723 Issued in FL

Legal business name

SOUTH BAY SURGICAL GROUP PA

Practice address

4020 State Road 674
Suite 19
Sun City Center, FL 33573-5285

Phone

(813) 890-8004

Fax

(813) 290-9691

NPI assigned

Nov 29, 2005

Organization subpart

No

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

Authorized official

Name

David T Goldsberry, M.D.NPI 1720061260

Title

Physician

Phone

(813) 890-8004

Specialties & licenses 1

Addresses

Practitioners 1

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

• David T Goldsberry, M.D.

  • Surgery Physician
  • Sun City Center, FL
  • NPI 1720061260
  NPD (past) Authorized official

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770566218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 STATE ROAD 674",
            "address_2": "SUITE 19",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735285",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 STATE ROAD 674",
            "address_2": "SUITE 19",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735285",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY SURGICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSBERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-890-8004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME62723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Hospital Outpatient Diag/Imaging Ctr
• South Bay Hospital Outpatient Diagnostic/Imaging Center
• South Bay Imaging LLC
• South Bay Imaging, LLC
• South Bay Neurology and Total Spine Care, P.a.
• Southeast Eye Institute, PA
• Southern Home Care Services, Inc.
• Amanda Spencer
• Brooke A Spencer, PTA
• Julie Okamoto Spencer

• Specialist in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.