SOUTH TAMPA SURGERY CENTER, LLC.
NPI 1124186663
Clinic/Center - Ambulatory Surgical in Tampa, FL

Active since December 05, 2006CLIA 10D1009075 · Waiver
3600 W KENNEDY BLVD, TAMPA, FL 33609(813) 873-8700(813) 873-0101 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Tampa Surgery Center, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH TAMPA SURGERY CENTER, LLC. (NPI 1124186663) is a healthcare organization registered as an ambulatory surgical in Tampa, Florida and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Stanley Robert Dennison, President, as its authorized official.

NPPES Registry Identity

NPI1124186663
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTH TAMPA SURGERY CENTER, LLC.
Location Address3600 W KENNEDY BLVDTampa, FL 33609-2802
Mailing Address3600 W Kennedy BlvdTampa, FL 33609-2802 · (813) 873-8700 · Fax (813) 873-0101
Fax(813) 873-0101
Organization SubpartNo
Authorized OfficialStanley Robert DennisonPresident · (813) 873-8700
Enumeration DateDecember 5, 2006
Last NPPES UpdateDecember 13, 2011
NPI 1124186663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3600 W KENNEDY BLVD, Tampa, FL 33609

Other Identifiers 1

Medicare ID-Type UnspecifiedF1403FL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1009075

South Tampa Surgery Center · Tampa, FL
Active · expires Feb 4, 2027
CLIA Number10D1009075
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorStanley R. Dennison Jr MD
Laboratory Phone(813) 873-8700
Laboratory LocationSouth Tampa Surgery Center3600 W Kennedy Blvd, Tampa, FL 33609
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
54 services24 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
34 services23 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
28 services18 patients
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633
This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.
20 services12 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
18 services11 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
15 services12 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
3600 W KENNEDY BLVD
TAMPA, FL 33609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Tampa Surgery Center, LLC.'s NPI number?

The NPI number for South Tampa Surgery Center, LLC. is 1124186663. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is South Tampa Surgery Center, LLC. located?

South Tampa Surgery Center, LLC. is located at 3600 W Kennedy Blvd, Tampa, FL 33609. The listed phone number is (813) 873-8700.

What is South Tampa Surgery Center, LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does South Tampa Surgery Center, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1009075) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Tampa Surgery Center, LLC. accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list South Tampa Surgery Center, LLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Tampa Surgery Center, LLC. was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.