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General NPI Number Information
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NPI Number | 1831308949
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Entity Type | Organization
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Legal Business Name | TAMPA BAY SURGICAL GROUP, LLP
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 2901 W BUSCH BLVD STE 707
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City | TAMPA
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State | FL
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Zip | 33618-4569
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Country | US
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Telephone | 813-254-3016
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Fax | 813-254-3019
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Provider Business Mailing Address
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Address Line | 2901 W BUSCH BLVD STE 707
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City | TAMPA
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State | FL
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Zip | 33618-4569
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Country | US
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Telephone | 813-254-3016
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Fax | 813-254-3019
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KAREN S WALKER
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Credential |
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Telephone | 813-254-3016
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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 | LLP070000452
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License Number State | FL
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