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General NPI Number Information
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NPI Number | 1750516688
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Entity Type | Organization
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Legal Business Name | TAMPA OPERATING ROOM SERVICES INC
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 05/21/2009
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Provider Practice Location Address
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Address Line | 2615 SWANN AVENUE
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City | TAMPA
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State | FL
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Zip | 33609
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Country | US
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Telephone | 813-878-0089
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Fax | 813-879-1310
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Provider Business Mailing Address
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Address Line | 2615 SWANN AVENUE
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City | TAMPA
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State | FL
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Zip | 33609
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Country | US
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Telephone | 813-878-0089
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Fax | 813-879-1310
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Authorized Official
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Title or Position | CEO/SURGEON
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Name | DR. ABRAHAM SAMUEL MARCADIS
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Credential | M.D.
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Telephone | 813-878-0089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | ME44010
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License Number State | FL
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