Provider Demographics
NPI:1306156377
Name:TAMPA BAY SURGERY SPECIALISTS, P.A.
Entity type:Organization
Organization Name:TAMPA BAY SURGERY SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-873-0337
Mailing Address - Street 1:2727 W DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:SUITE 560
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6383
Mailing Address - Country:US
Mailing Address - Phone:813-873-0337
Mailing Address - Fax:813-873-0151
Practice Address - Street 1:2727 WEST DR. MARTIN LUTHER KING JR. BOULEVARD
Practice Address - Street 2:SUITE 560
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6009
Practice Address - Country:US
Practice Address - Phone:813-873-0337
Practice Address - Fax:813-873-0151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty