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General NPI Number Information
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NPI Number | 1790731834
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Entity Type | Organization
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Legal Business Name | NORTH BAY SURGICAL ASSOCIATES PA
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6636 FOREST AVE STE B
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653
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Country | US
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Telephone | 727-844-7944
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Fax | 727-844-7954
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Provider Business Mailing Address
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Address Line | PO BOX 2556
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City | CLEARWATER
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State | FL
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Zip | 33757-2556
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Country | US
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Telephone | 727-532-0002
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Fax | 727-532-1318
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NANCY JO TAFT
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Credential | MD
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Telephone | 727-532-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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