Greater Tampa Bay Physician Specialists, LLC
NPI #1881364107 in Saint Petersburg, Florida
Provider Information
- NPI Number
- 1881364107
- Entity Type
- Organization
- Organization Name
- Greater Tampa Bay Physician Specialists, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GREATER TAMPA BAY PHYSICIAN SPECIALISTS, LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Sep 17, 2021
- Last Updated
- Sep 17, 2021
Practice Location
- Address
- 6006 49TH ST N STE 310
- City
- Saint Petersburg
- State
- Florida
- ZIP Code
- 33709-2149
- Phone
- (727) 289-7137
Authorized Official
- Name
- WILLIAM TEDRICK JOHNSON
- Title
- VICE PRESIDEN
- Phone
- (615) 372-3375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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