SOUTH BAY SURGICAL GROUP PA
NPI 1770566218
Specialist in Sun City Center, FL

Active since November 29, 2005
4020 STATE ROAD 674, SUITE 19, SUN CITY CENTER, FL 33573(813) 890-8004(813) 290-9691 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Bay Surgical Group Pa NPPES

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

SOUTH BAY SURGICAL GROUP PA (NPI 1770566218) is a healthcare organization registered as a specialist in Sun City Center, Florida and active in the NPI registry since November 2005. The organization lists David T Goldsberry, Physician, as its authorized official.

NPPES Registry Identity

NPI1770566218
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH BAY SURGICAL GROUP PA
Location Address4020 STATE ROAD 674, SUITE 19Sun City Center, FL 33573-5285
Mailing Address4020 State Road 674, Suite 19Sun City Center, FL 33573-5285 · (813) 890-8004 · Fax (813) 290-9691
Fax(813) 290-9691
Organization SubpartNo
Authorized OfficialDavid T GoldsberryPhysician · (813) 890-8004
Enumeration DateNovember 29, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1770566218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME62723
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4020 STATE ROAD 674, Sun City Center, FL 33573

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Registered Nurse (Psychiatric/Mental Health)
4020 STATE ROAD 674, SUITE 11
SUN CITY CENTER, FL 33573
Internal Medicine (Pulmonary Disease)
4020 STATE ROAD 674, SUITE 1
SUN CITY CENTER, FL 33573

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 Bay Surgical Group PA's NPI number?

The NPI number for South Bay Surgical Group PA is 1770566218. It was assigned to this organization in the NPPES registry on November 29, 2005.

Where is South Bay Surgical Group PA located?

South Bay Surgical Group PA is located at 4020 State Road 674 Suite 19, Sun City Center, FL 33573. The listed phone number is (813) 890-8004.

What is South Bay Surgical Group PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for South Bay Surgical Group PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.