Physicians ENT of Tampa LLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

PHYSICIANS ENT OF TAMPA LLC

Practice address

3905 Crescent Park Dr FL 1
Riverview, FL 33578-3625

Phone

(917) 742-1682

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Derbyshire, DO

Title

Owner and Med Director

Phone

(917) 742-1682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1831002088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 CRESCENT PARK DR FL 1",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783625",
            "telephone_number": "917-742-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 CRESCENT PARK DR FL 1",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783625",
            "telephone_number": "917-742-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS ENT OF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A",
        "authorized_official_last_name": "DERBYSHIRE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER AND MED DIRECTOR",
        "authorized_official_telephone_number": "917-742-1682",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Facial Plastic Surgery Physician in Riverview, FL
• Providers in Riverview, FL by specialty
• Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.