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

Tampa Medical Center LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1063160174

Tampa Medical Center LLC provides Plastic and Reconstructive Surgery Physician services in Tampa, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

5535 Memorial Hwy
Tampa, FL 33634-7332
Phone: (813) 474-8342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1063160174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nisreen Fernandez — Owner · (813) 474-8342
Other names Bodze
NPI enumeratedMarch 17, 2022
Last updated in NPPESMarch 17, 2022
Certification dateMarch 17, 2022
Mailing address5535 Memorial Hwy, Tampa, FL 33634-7332

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