Active NPI
West Park Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Pinellas Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WEST PARK SURGERY CENTER LLC
- Practice address
- 6640 78TH Ave
Suite B
Pinellas Park, FL 33781-2053 - Phone
- (727) 549-0610
- Fax
- (727) 518-8662
- NPI assigned
- Apr 6, 2006
- Last updated
- Sep 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracie Gari
- Title
- Chief Administrative Officer
- Phone
- (813) 549-2134
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
6640 78TH Ave
Suite B
Pinellas Park, FL 33781-2053
Mailing address
PO Box 628781
Orlando, FL 32862-8781
Phone (727) 549-0610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050616000054 | FL | Part B Supplier - Ambulatory Surgical Center | 1759325194 | Practice locations: Pinellas Park, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1043272750. Details of each certification follow.
Hospital certification: CCN 100333
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- WEST PARK SURGERY CENTER LLC
- Certification status
- Terminated Voluntary: merger or closure, Feb 13, 2023
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Mar 2, 2020
- Last certification
- Mar 2, 2020
- Beds
- 1
- Ownership / control type
- Private (for profit)
- Facility address
- 6640 78TH N Ave, Suite B
Pinellas Park, FL 33781
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- West Park Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1034504 | West Park Surgery Center | Certificate of waiver | Dec 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
6640 78th Ave N
Ste B
Pinellas Park, FL 33781
Phone (727) 518-8660
Networks
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Tampa, FL
- NPI 1659315190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758326400000",
"number": "1043272750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 628781",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328628781",
"telephone_number": "727-549-0610",
"fax_number": "727-549-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6640 78TH AVE",
"address_2": "SUITE B",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337812053",
"telephone_number": "727-549-0610",
"fax_number": "727-518-8662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST PARK SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2025-09-20",
"certification_date": "2025-09-20",
"status": "A",
"authorized_official_last_name": "GARI",
"authorized_official_first_name": "TRACIE",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "813-549-2134"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.