Healthcare Provider Details

I. General information

NPI: 1790731834
Provider Name (Legal Business Name): NORTH BAY SURGICAL ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6636 FOREST AVE STE B
NEW PORT RICHEY FL
34653
US

IV. Provider business mailing address

PO BOX 2556
CLEARWATER FL
33757-2556
US

V. Phone/Fax

Practice location:
  • Phone: 727-844-7944
  • Fax: 727-844-7954
Mailing address:
  • Phone: 727-532-0002
  • Fax: 727-532-1318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. NANCY JO TAFT
Title or Position: PRESIDENT
Credential: MD
Phone: 727-532-0002