St Lukes Surgical Center
Ophthalmology in Tarpon Springs, FL. Organization (NPI-2).
NPI number1063453082
StatusActive
Last updated in NPPESMay 8, 2008
Details
- NPI
- 1063453082
- Entity type
- Organization (NPI-2)
- Legal business name
- St Lukes Surgical Center
- Organization subpart
- No
- Enumeration date
- Jun 9, 2006
- Last updated
- May 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 152W00000X | Optometrist | – | – | |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – |
Practice location
43309 Us Highway 19 NTarpon Springs, FL 34689-6221
Phone 727-938-2020 · Fax 727-943-3334
Mailing address
43309 Us Highway 19 NTarpon Springs, FL 34689-6221
Phone 727-938-2020 · Fax 727-943-3334
Authorized official
Sharon Davis
Credentialing/Billing Supervisor
7279433111
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