Healthcare Provider Details

I. General information

NPI: 1598927147
Provider Name (Legal Business Name): MORTON PLANT MEASE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8787 BRYAN DAIRY RD
LARGO FL
33777-1251
US

IV. Provider business mailing address

PO BOX 404841
ATLANTA GA
30384-4841
US

V. Phone/Fax

Practice location:
  • Phone: 727-394-5119
  • Fax:
Mailing address:
  • Phone: 813-852-3272
  • Fax: 813-852-3233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAMBYN CUBERO
Title or Position: MANAGER
Credential:
Phone: 727-281-9390