Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greater Tampa Bay Physician Specialists, LLC

Organization Surgery Physician · NPI 1528492287

Greater Tampa Bay Physician Specialists, LLC is a Surgery Physician in Tampa, Florida. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

602 S Audubon Ave Ste A
Tampa, FL 33609-4217
Phone: (813) 877-1415
Fax: (817) 877-7602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1528492287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Johnson — Group Vice President/Ao · (615) 372-5372
NPI enumeratedAugust 29, 2013
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4525

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