Organization
SURGICALIST OF FL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIT DESAI MD (PRESIDENT)
(813) 530-5043
Entity
Organization
Contact information
Practice address
17222 HOSPITAL BLVD STE 116, BROOKSVILLE, FL 34601-8925
(813) 866-1959
(813) 866-1957
Mailing address
PO BOX 21647, TAMPA, FL 33622-1647
(813) 530-5043
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280046200
—
FL
Enumeration date
01/16/2007
Last updated
03/16/2024
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