Healthcare Provider Details

I. General information

NPI: 1134908510
Provider Name (Legal Business Name): OROZCO SURGICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3351 W BEARSS AVE
TAMPA FL
33618-2100
US

IV. Provider business mailing address

3351 W BEARSS AVE
TAMPA FL
33618-2100
US

V. Phone/Fax

Practice location:
  • Phone: 813-269-2400
  • Fax: 813-269-2408
Mailing address:
  • Phone: 813-269-2400
  • Fax: 813-269-2408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA PATRICIA OROZCO
Title or Position: MANAGER
Credential: APRN
Phone: 813-833-6935