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HABANA AMBULATORY SURGERY CENTER LLC
NPI 1578917035
Clinic/Center - Ambulatory Surgical in Tampa, FL

Active since April 20, 2016CLIA 10D2113126 · Waiver
4726 N HABANA AVE STE 100, TAMPA, FL 33614(813) 769-8855(813) 514-0231 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2023, May 15, 2020 (2 updates tracked since 2020).

About Habana Ambulatory Surgery Center Llc NPPES

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

HABANA AMBULATORY SURGERY CENTER LLC (NPI 1578917035) is a healthcare organization registered as an ambulatory surgical in Tampa, Florida and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through May 16, 2028 and lists Joshua Helms, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1578917035
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameHABANA AMBULATORY SURGERY CENTER LLC
Location Address4726 N HABANA AVE STE 100Tampa, FL 33614-7144
Mailing AddressPo Box 628766Orlando, FL 32862-8766 · (813) 549-2134 · Fax (813) 569-1759
Phone(813) 769-8855
Fax(813) 514-0231
Organization SubpartNo
Authorized OfficialJoshua HelmsChief Executive Officer · (813) 549-2134
Enumeration DateApril 20, 2016
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1578917035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
4726 N HABANA AVE STE 100, Tampa, FL 33614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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 10D2113126

Habana Ambulatory Surgery Center, LLC · Tampa, FL
Active · expires May 16, 2028
CLIA Number10D2113126
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorJamie E. Gottlieb
Laboratory Phone(786) 873-8132
Laboratory LocationHabana Ambulatory Surgery Center, LLC4726 N Habana Ave Ste 100, Tampa, FL 33614
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

ERNESTO CARIDAD PEREZ CRNA
Nurse Anesthetist, Certified Registered
4726 N HABANA AVE STE 100
TAMPA, FL 33614
Hillsborough County (813) 549-2134
MYRA GONZALEZ
Specialist/Technologist, Other (Electroneurodiagnostic)
4726 N HABANA AVE STE 100
TAMPA, FL 33614
Hillsborough County (813) 549-2134
TEXAS IONM PLLC
Electrodiagnostic Medicine
4726 N HABANA AVE STE 100
TAMPA, FL 33614
Hillsborough County (813) 549-2134
PARTNERS NEURODIAGNOSTICS LLC
Psychiatry & Neurology (Clinical Neurophysiology)
4726 N HABANA AVE STE 100
TAMPA, FL 33614
Hillsborough County (813) 769-8855
FLORIDA IONM PLLC
Electrodiagnostic Medicine
4726 N HABANA AVE STE 100
TAMPA, FL 33614
Hillsborough County (813) 769-8855

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 Habana Ambulatory Surgery Center LLC's NPI number?

The NPI number for Habana Ambulatory Surgery Center LLC is 1578917035. It was assigned to this organization in the NPPES registry on April 20, 2016.

Where is Habana Ambulatory Surgery Center LLC located?

Habana Ambulatory Surgery Center LLC is located at 4726 N Habana Ave Ste 100, Tampa, FL 33614. The listed phone number is (813) 769-8855.

What is Habana 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 Habana Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2113126) is associated with this NPI, valid through May 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Habana Ambulatory Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and Wellpoint list Habana Ambulatory 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 Habana Ambulatory Surgery Center LLC was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.