Active NPI
South Tampa Surgical PLLC
- Surgery Physician
- Tampa, FL
National Provider Identifier
1932486321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SOUTH TAMPA SURGICAL PLLC
- Practice address
- 508 S Habana Ave
Suite 380
Tampa, FL 33609-4181 - Phone
- (813) 875-9739
- Fax
- (813) 873-2603
- NPI assigned
- Nov 14, 2011
- Organization subpart
- Yes
- Parent organization
- LUTZ SURGICAL PARTNERS PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mit Desai, MD
- Title
- Ceo
- Phone
- (813) 866-1959
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
508 S Habana Ave
Suite 380
Tampa, FL 33609-4181
Mailing address
508 S Habana Ave
Suite 380
Tampa, FL 33609-4181
Phone (813) 875-9739
National Provider Directory
National Provider Directory- Part of
- Lutz Surgical Partners LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321228800000",
"number": "1932486321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 S HABANA AVE",
"address_2": "SUITE 380",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094181",
"telephone_number": "813-875-9739",
"fax_number": "813-873-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 S HABANA AVE",
"address_2": "SUITE 380",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094181",
"telephone_number": "813-875-9739",
"fax_number": "813-873-2603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH TAMPA SURGICAL PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LUTZ SURGICAL PARTNERS PLLC",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "MIT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-866-1959",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"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 Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.