MEDICARE: ADVANCED SURGICAL ASSOCIATES OF WEST FL LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1467481747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SURGICAL ASSOCIATES OF WEST FL LLP

Provider Business Mailing Address
First Line	:	1258 W BAY DR
Second Line	:	SUITE E
City	:	LARGO
State	:	FL
Zip	:	33770-2242
Country	:	US
Telephone Number	:	727-586-3751
Fax Number	:	727-584-3102

Provider Business Practice Location Address
First Line	:	1258 W BAY DR
Second Line	:	SUITE E
City	:	LARGO
State	:	FL
Zip	:	33770-2242
Country	:	US
Telephone Number	:	727-586-3751
Fax Number	:	727-584-3102

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ROBERT T ROTH
Credential	:	MD
Telephone Number	:	727-586-3751

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1104894567 — DR. JILL MARIE ROEHR M.D.
Practice Location Address:

1258 W BAY DR
LARGO, FL
33770-2242

Practice Phone: 727-586-3751
Practice Fax: 727-587-9340

1164619797 — LARGO LUNG ASSOCIATES INC
Practice Location Address:

1258 W BAY DR , SUITE E
LARGO, FL
33770-2242

Practice Phone: 727-559-8300
Practice Fax: 727-559-7700

1558540534 — LARGO PRIMARY CARE LLC
Practice Location Address:

1258 W BAY DR , SUITE A
LARGO, FL
33770-2242

Practice Phone: 727-585-5431
Practice Fax: 727-585-1543

1194098616 — FLORIDA NEUROLOGY CLINICS PA
Practice Location Address:

1258 W BAY DR , STE H
LARGO, FL
33770-2242

Practice Phone: 727-584-3313
Practice Fax: 727-584-3315

1487693305 — MS. MISSY ELAINE MIMS KIRKMAN CRNA
Practice Location Address:

148 13TH ST SW STE 200
LARGO, FL
33770-3127

Practice Phone: 727-450-3030
Practice Fax: 727-450-3031

1861251381 — DR. RODRIGO JULIAN PODESTA DO
Practice Location Address:

201 14TH ST SW
LARGO, FL
33770-3133

Practice Phone: 727-588-5704
Practice Fax:

Directions to “ADVANCED SURGICAL ASSOCIATES OF WEST FL LLP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.