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

Tampa Medical Center LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1063160174

Tampa Medical Center LLC is a Plastic and Reconstructive Surgery Physician in Tampa, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

5535 Memorial Hwy
Tampa, FL 33634-7332
Phone: (813) 474-8342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1063160174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nisreen Fernandez — Owner · (813) 474-8342
Other names Bodze
NPI enumeratedMarch 17, 2022
Last updated in NPPESMarch 17, 2022
Certification dateMarch 17, 2022
Mailing address5535 Memorial Hwy, Tampa, FL 33634-7332

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