FKP TAMPA AMBULATORY SURGERY CENTER, LLC
NPI 1205600806
Clinic/Center - Ambulatory Surgical in Brandon, FL

Active since November 14, 2023CLIA 10D2298801 · Waiver
514 EICHENFELD DR, BRANDON, FL 33511(813) 358-1568(813) 200-1840 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fkp Tampa Ambulatory Surgery Center, Llc NPPES

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

FKP TAMPA AMBULATORY SURGERY CENTER, LLC (NPI 1205600806) is a healthcare organization registered as an ambulatory surgical in Brandon, Florida and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through February 7, 2028 and lists Lauren Ellenburg, Chief Of Provider Group Operations, as its authorized official.

NPPES Registry Identity

NPI1205600806
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFKP TAMPA AMBULATORY SURGERY CENTER, LLC
Location Address514 EICHENFELD DRBrandon, FL 33511-5955
Mailing Address1 Parkway North Blvd Ste 200sDeerfield, IL 60015-2534 · (847) 388-2064
Fax(813) 200-1840
Organization SubpartNo
Authorized OfficialLauren EllenburgChief Of Provider Group Operations · (480) 421-8745
Enumeration DateNovember 14, 2023
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
NPI 1205600806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
514 EICHENFELD DR, Brandon, FL 33511

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 10D2298801

Fkp Tampa Ambulatory Surgery Center, LLC · Brandon, FL
Active · expires Feb 7, 2028
CLIA Number10D2298801
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 8, 2026
Certificate Expiration DateFebruary 7, 2028
Laboratory DirectorEmil Abdulhayoglu
Laboratory Phone(813) 358-1568
Laboratory LocationFkp Tampa Ambulatory Surgery Center, LLC514 Eichenfeld Drive, Brandon, FL 33511
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Durable Medical Equipment & Medical Supplies
514 EICHENFELD DR, SUITE A
BRANDON, FL 33511
Internal Medicine (Nephrology)
514 EICHENFELD DR
BRANDON, FL 33511
Specialist
514 EICHENFELD DR
BRANDON, FL 33511

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 Fkp Tampa Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Fkp Tampa Ambulatory Surgery Center, LLC is 1205600806. It was assigned to this organization in the NPPES registry on November 14, 2023.

Where is Fkp Tampa Ambulatory Surgery Center, LLC located?

Fkp Tampa Ambulatory Surgery Center, LLC is located at 514 Eichenfeld Dr, Brandon, FL 33511. The listed phone number is (813) 358-1568.

What is Fkp Tampa Ambulatory Surgery Center, LLC's specialty?

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

Does Fkp Tampa Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2298801) is associated with this NPI, valid through February 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fkp Tampa Ambulatory Surgery Center, LLC was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.