HABANA AMBULATORY SURGERY CENTER LLC (NPI# 1578917035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578917035 |
| Entity Type | Organization |
| Organization Name | HABANA AMBULATORY SURGERY CENTER LLC |
| Practice Address |
4726 N Habana Ave Ste 100 Tampa FL 33614-7144 |
| Mailing Address |
504 N Reo St Tampa FL 33609-1013 |
| Practice Telephone | 8135492134 |
| Practice Fax Number | 8138701383 |
| Mailing Telephone | 8135492134 |
| Mailing Fax Number | 8135691759 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | TRACIE LAWSON (CAO) |
| Authorized Official Telephone | 8135492134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Street Address |
4726 N HABANA AVE STE 100 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174560478 | Ernesto Caridad Perez | Nurse Anesthetist, Certified Registered | 4726 N Habana Ave Ste 100, Tampa, FL 33614-7144 | 2006-06-02 |
| 1275038366 | Myra Gonzalez | Specialist/Technologist, Other | 4726 N Habana Ave Ste 100, Tampa, FL 33614-7144 | 2018-03-29 |
| 1598294100 | Florida Ionm Pllc | Electrodiagnostic Medicine | 4726 N Habana Ave Ste 100, Tampa, FL 33614-7144 | 2017-06-07 |
| 1275062804 | Texas Ionm Pllc | Electrodiagnostic Medicine | 4726 N Habana Ave Ste 100, Tampa, FL 33614-7144 | 2017-06-07 |
| 1437688033 | Partners Neurodiagnostics LLC | Psychiatry & Neurology | 4726 N Habana Ave Ste 100, Tampa, FL 33614-7144 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942605530 | Florida Hospital Carrollwood | General Acute Care Hospital | 4221 W Spruce St Apt 1417, Tampa, FL 33607-7252 | 2014-10-26 |
| 1649605445 | St Joseph Hospital | General Acute Care Hospital | 308 N Beverly Ave, 3001 Martin Luther King Jr. Blvd., Tampa, FL 33609-1408 | 2013-09-11 |
| 1538415245 | James A. Haley Va Hospital | General Acute Care Hospital | 13000-bruce B. Downs Blvd, James A. Haley Va Hospital, Tampa, FL 33612 | 2012-07-31 |
| 1346519816 | St. Joseph's Hospital, Inc. | General Acute Care Hospital | 3030 W. Dr. Mlk Jr Blvd, Tampa, FL 33607-6307 | 2011-12-29 |
| 1912236357 | Juanita Marie Bergmann | General Acute Care Hospital | 4555 S. Manhattan Ave., Tampa, FL 33601 | 2009-12-14 |
| 1659530236 | James A Haley Va | General Acute Care Hospital | 13000 Bruce B Downs Blvd # Va, Tampa, FL 33612-4745 | 2008-06-09 |
| 1588875322 | Club Staffing | General Acute Care Hospital | 13905 Fletchers Mill Dr, Tampa, FL 33613-4118 | 2007-05-24 |
| 1184648073 | James A Haley Veterans Hospital | General Acute Care Hospital | 13000 B Downs Blvd, Room 2b201, Tampa, FL 33612 | 2006-07-26 |
| 1386694701 | Tampa Vamc | General Acute Care Hospital | 13000 N. Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-05-10 |
| 1124558929 | Tampa General Hospital | General Acute Care Hospital | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2017-06-14 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.