Healthcare Provider Details

I. General information

NPI: 1609780378
Provider Name (Legal Business Name): APEX PLASTIC SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 W DE LEON ST STE 104
TAMPA FL
33609-4130
US

IV. Provider business mailing address

2835 W DE LEON ST STE 104
TAMPA FL
33609-4130
US

V. Phone/Fax

Practice location:
  • Phone: 516-318-7313
  • Fax:
Mailing address:
  • Phone: 516-318-7313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. STEPHEN T GREENBERG
Title or Position: OWNER
Credential: MD
Phone: 516-318-7313