Organization · Type 2 NPI

North Bay Surgical Associates PA

Nurse Practitioner · New Port Richey, FL

NPI number 1790731834 Active

Practice location

6636 Forest Ave, Ste B
New Port Richey, FL 34653

Fax (727) 844-7954

Mailing address

PO Box 2556
Clearwater, FL 33757-2556

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XNone listed
Vascular Surgery Physician 2086S0129XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790731834

North Bay Surgical Associates PA's National Provider Identifier is 1790731834, issued on May 26, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New Port Richey, FL. The record was last updated on Sep 11, 2025.