Organization Active NPI

Center for Breast Care & Outpatient Surgery

  • Surgery Physician
  • Spring Hill, FL
National Provider Identifier
1790801215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME38557 Issued in FL
Legal business name
CENTER FOR BREAST CARE & OUTPATIENT SURGERY
Practice address
5327 Commercial Way Ste D119
Spring Hill, FL 34606-1420
Phone
(352) 596-0184
Fax
(352) 596-6559
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Susan Disner
Title
Office Manager
Phone
(352) 596-0184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME38557 FL Primary

Addresses

Primary practice location

5327 Commercial Way Ste D119
Spring Hill, FL 34606-1420

Mailing address

5327 Commercial Way Ste D119
Spring Hill, FL 34606-1420
Phone (352) 596-0184

National Provider Directory

National Provider Directory

Locations

5327 Commercial Way
Unit D119
Spring Hill, FL 34606
Phone (352) 596-0154

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790801215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5327 COMMERCIAL WAY STE D119",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061420",
            "telephone_number": "352-596-0184",
            "fax_number": "352-596-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 COMMERCIAL WAY STE D119",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061420",
            "telephone_number": "352-596-0184",
            "fax_number": "352-596-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BREAST CARE & OUTPATIENT SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DISNER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-596-0184",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME38557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • 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.