FKP TAMPA AMBULATORY SURGERY CENTER, LLC – NPI #1205600806
Clinic/Center

FKP TAMPA AMBULATORY SURGERY CENTER, LLC is an AHC clinic located in BRANDON, FL. NPPES has assigned the NPI number 1205600806 to FKP TAMPA AMBULATORY SURGERY CENTER, LLC on November 14, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Aug 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FKP TAMPA AMBULATORY SURGERY CENTER, LLC below.

NPI Profile for
FKP TAMPA AMBULATORY SURGERY CENTER, LLC

NPI Number
1205600806
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FKP TAMPA AMBULATORY SURGERY CENTER, LLC
Primary location
514 EICHENFELD DR
BRANDON, FL 33511-5955
Phone: (813) 358-1568 Fax: (813) 200-1840
Mailing address
1 PARKWAY NORTH BLVD STE 200S
DEERFIELD, IL 60015-2534
Phone: (847) 388-2064 Fax:
Organization Subpart
No
Authorized Official
LAUREN ELLENBURG
CHIEF OF PROVIDER GROUP OPERATIONS
Phone: (480) 421-8745
Updated
Certification Date
Aug 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.