Organization · Type 2 NPI

Tampa Bay Cosmetic Surgery Center LLC

Ophthalmic Plastic and Reconstructive Surgery Physician · St. Petersburg, FL

NPI number 1740168574 Active

Practice location

6025 4th St N
St. Petersburg, FL 33703-1419

Fax (727) 521-0500

Specialties and licenses

TaxonomyCodeLicense
Ophthalmic Plastic and Reconstructive Surgery Physician Primary 207WX0200XNone listed

Ophthalmic Plastic and Reconstructive Surgery Physician: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting struc…

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About NPI 1740168574

Tampa Bay Cosmetic Surgery Center LLC's National Provider Identifier is 1740168574, issued on Aug 21, 2025. The primary taxonomy on file is Ophthalmic Plastic and Reconstructive Surgery Physician (207WX0200X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 4, 2025.