Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Greater Tampa Bay Physician Specialists, LLC

Organization Vascular Surgery Physician · NPI 1225601560

Greater Tampa Bay Physician Specialists, LLC provides Vascular Surgery Physician services in Bradenton, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2010 59th St W Ste 1500
Bradenton, FL 34209-4649
Phone: (941) 896-4788
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1225601560
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGreater Tampa Bay Physician Specialists, LLC
Authorized official William Johnson — Vice President · (615) 372-3375
NPI enumeratedJuly 23, 2021
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4692

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