Our Mission

We will provide our patients with the highest quality surgical care and services in a comfortable and pleasant outpatient environment by adhering to highest professional standards of practice.

Our expert team of personnel will create an environment that fosters genuine caring concern for the comfort and welfare of the patients, their family and friends. We will endeavour to continuously improve our services to our patients and other stakeholders.

Our Office

3440 W. Dr. Martin Luther King Jr. Blvd.
Suite 103
Tampa, Florida 33607

(813) 321-1618

Forms | Insurance | Billing

Patient Forms

Save time by downloading and filling out the necessary forms prior to your appointment. Click below to download a form or additional information.


Note: To view or print these forms, you will need Adobe Acrobat Reader. Click here to download it.

Participating Insurance Providers

  • Aetna – Indemnity, PPO, POS, HMO & Medicare Replacement Policies
  • BCBS – All commercial (PPO, Traditional PHS, Network Blue) and Medicare Advantage/HMO plans
  • Care Plus – Medicare Advantage Plan
  • Coventry – All commercial and Medicare Plans
  • Medicare
  • Medicaid (State of Florida) No primary HMO’s at this time.
  • Self-Pay
  • Tricare – Standard
  • Tricare – Prime
  • UHC – All Commercial and Medicare Replacement Plans
  • Workers Compensation

We also accept the following insurances:

  • CIGNA – All Commercial and Medicare Replacement Plans
  • Humana – All Commercial and Medicare Replacement Plans
  • Any other plans with Out of Network Benefits

Billing & Payment

The center requires payment of your deductible, copays and coinsurance before or on the day of your surgery. Please call our office prior to your surgery date if payment arrangements are necessary.

To make a payment on your account, please click here: www.patientnotebook.com/spsctampa

Prior to your surgery, you may request to receive a reasonable estimate of charges. The estimate is based upon your current insurance benefits. Post-surgery, upon request, you may request an itemized bill of charges.

Service bundle information is a non-personalized estimate of cost that may be incurred by the patient for anticipated services. Actual costs will be based on services actually provided to the patient. It is your right to request a personalized estimate from the center. Please reach out directly to the center on our policies on financial assistance, charity care, and collections procedures.

For more information: pricing.floridahealthfinder.gov

Transparency in Health Care

While your medical procedure may be provided in the ASC by the facility, as well as other health care providers who may separately bill you for their services, they may or may not participate with the same health insurers or health maintenance organizations as the ASC.

Prior to your surgery, you may request from the ASC, and other health care providers, a more personalized estimate of charges and other information. You may also contact each health care practitioner who will provide services in the facility to determine the health insurers and health maintenance organizations that the health care practitioner participates as a network provider or preferred provider.

Here is a list of the health care practitioners and medical practice groups with which we’ve contracted with to provide services in our facility.

  • Team Health, Gulf-to-Bay Anesthesia Group 
    400 N. Ashley Drive, Suite 1625
    Tampa, FL 33602
    (813) 868-7499
  • AccuPath Laboratories 
    5938 Frond Way
    Apollo Beach, FL 33572
    (813) 641-0466
  • BayCare Laboratories
    8020 Woodland Center Blvd.
    Tampa, FL 33614
    (800) 324-7853
  • Implantable Provider Group (IPG)
    11605 Haynes Bridge Road, Suite 200
    Alpharetta, GA 30009
    (770) 753-0046

Charity Care and Financial Hardship

The center maintains a charity care and financial hardship discount policy to provide financial assistance to patients who receive care but do not qualify for state or federal assistance and who are unable to pay the estimated financial responsibility in full. The patient must complete an application and meet the household income qualification based on Federal Poverty Level Guidelines, which are revised annually. Patients will also need to submit supporting documentation as outlined in the application.

The center also provides several payment options for patients who are unable to pay the estimated financial responsibility in full. We accept CareCredit for medical procedures as well as payment plan options that are set up for automatic electronic deductions.

Patients may access the State of Florida’s Agency for Healthcare Administration website for more information about the center. www.floridahealthfinder.gov

Providing our patients with the highest quality surgical care – no matter how big or small.

Select Physicians Surgery Center operates an outpatient surgical facility licensed by the State of Florida. Some of the physicians of Select Physicians Surgery Center have a financial interest or ownership in the facility. These physicians have become owners due to their commitment of providing quality health care and services to their patients.

View Physician Owners »

You have a right to choose where to receive services, including an entity in which your physician may have a financial relationship.

Some reasonable alternative sources of service are:

Select Physicians Surgery Center

Visit Us

3440 W. Dr. M.L.K. Jr. Blvd.
Suite 103
Tampa, Florida 33607

Phone: (813) 321-1618
Fax: (813) 559-1774