Tampa Bay Surgery Center | Caring, Comfort & Convenience

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PHYSICIAN FORMS:

	By-Laws		History & Physical
	Discharge Summary		Physician Orders
	Medicare Enrollment Application NPI#1790866036		Medicare Enrollment Application NPI#1457451445
	BCBS Billing Authorization

	Appointment App to Med Staff Anesthesia		Re-Appointment App to Med Staff Anesthesia
	Appointment App to Med Staff C.R.N.A.		Re-Appointment App to Med Staff C.R.N.A.
	Appointment App to Med Staff General Surgery		Re-Appointment App to Med Staff General Surgery
	Appointment App to Med Staff Genito-Urinary		Re-Appointment App to Med Staff Genito-Urinary
	Appointment App to Med Staff Ophthalmology		Re-Appointment App to Med Staff Ophthalmology
	Appointment App to Med Staff Orthopedics		Re-Appointment App to Med Staff Orthopedics
	Appointment App to Med Staff Otorhinolaryngology		Re-Appointment App to Med Staff Otorhinolaryngology
	Appointment App to Med Staff Pain Management		Re-Appointment App to Med Staff Pain Management
	Appointment App to Med Staff Plastic & Reconstructive Surgery		Re-Appointment App to Med Staff Plastic & Reconstructive Surgery
	Appointment App to Med Staff Podiatry		Re-Appointment App to Med Staff Podiatry