Organization
WEST PARK SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE GARI (CHIEF ADMINISTRATIVE OFFICER)
(813) 549-2134
Entity
Organization
Contact information
Practice address
6640 78TH AVE, SUITE B, PINELLAS PARK, FL 33781-2053
(727) 549-0610
(727) 518-8662
Mailing address
PO BOX 628781, ORLANDO, FL 32862-8781
(727) 549-0610
(727) 549-0620
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101021100
—
FL
Enumeration date
04/06/2006
Last updated
09/20/2025
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