PEDIATRIC SURGERY CENTERS LLC NPI 1689664906

NPI Information

NPI: 1689664906
Provider Name: PEDIATRIC SURGERY CENTERS, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D1026431

Address:
10080 BALAYE RUN DR
TAMPA, FL
ZIP 33619
Phone: (813) 490-6100
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PEDIATRIC SURGERY CENTERS, LLC is an ambulatory surgical clinic center in Tampa, FL. PEDIATRIC SURGERY CENTERS, LLC NPI is 1689664906. The provider is registered as an organization entity type.

The provider's business location address is:

10080 BALAYE RUN DR
TAMPA, FL
ZIP 33619-902
Phone: (813) 490-6100
Fax: (813) 490-6105

The provider's authorized official is Jenetha D Moran .
The authorized official title is Authorized Official and has the following contact phone number (972) 763-3893.

The CLIA number assigned to this NPI record is 10D1026431 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 7/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	1218	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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