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Organization
PARK MEDICAL SURGERY CENTER, LLC
Active
Organization
PARK MEDICAL SURGERY CENTER, LLC
Active
Other names
PARK MEDICAL SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRIT DESAI (PRESIDENT/MANAGING MEMBER)
(727) 544-5444
Entity
Organization
Contact information
Practice address
5000 PARK STREET NORTH, SUITE 1101, ST. PETERSBURG, FL 33709-2221
(727) 544-5444
(727) 544-5441
Mailing address
5000 PARK STREET NORTH, SUITE 1101, ST. PETERSBURG, FL 33709-2221
(727) 544-5444
(727) 544-5441
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1221
AHCA - ASC LICENSE
FL
Enumeration date
02/01/2007
Last updated
10/23/2009
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