Provider Demographics
NPI:1528176765
Name:BAY AREA PHYSICIANS SURGERY CENTER
Entity type:Organization
Organization Name:BAY AREA PHYSICIANS SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:ALVEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-699-1200
Mailing Address - Street 1:6043 WINTHROP COMMERCE AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4272
Mailing Address - Country:US
Mailing Address - Phone:813-699-1200
Mailing Address - Fax:
Practice Address - Street 1:6043 WINTHROP COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4272
Practice Address - Country:US
Practice Address - Phone:813-699-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical