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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