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General NPI Number Information
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NPI Number | 1922949965
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Entity Type | Organization
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Legal Business Name | MIDTOWN TAMPA ASC, LLC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 2727 MARTIN LUTHER KING BLVD STE 150
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City | TAMPA
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State | FL
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Zip | 33607
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Country | US
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Telephone | 813-961-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 4140 PARKLAKE DRIVE
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City | RALEIGH
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State | NC
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Zip | 27612-3723
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SARAH RITTMAN
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Credential |
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Telephone | 919-924-4455
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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 |
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License Number State |
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