Organization Active NPI

Florida Specialty Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1376748228
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FLORIDA SPECIALTY SURGERY CENTER LLC
Practice address
6345 54TH Ave N
St Petersburg, FL 33709-1703
Phone
(727) 497-2323
NPI assigned
Jun 20, 2007
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kazi M Hassan, MDNPI 1801909296
Title
Owner Medical Director
Phone
(727) 497-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X FL Primary

Addresses

Primary practice location

6345 54TH Ave N
St Petersburg, FL 33709-1703

Mailing address

6333 54TH Ave N
St Petersburg, FL 33709-1703
Phone (727) 548-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080708000071 FL Part B Supplier - Ambulatory Surgical Center 7416029541 Receives reassigned benefits from 2 practitioners
Practice locations: St Petersburg, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376748228. Details of each certification follow.

Hospital certification: CCN 100341

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
FLORIDA SPECIALTY SURGERY CENTER LLC
Certification status
Terminated Voluntary: merger or closure, Sep 30, 2020
Provider type (POS)
Hospital – Short-term
Participating since
Apr 27, 2020
Last certification
Apr 27, 2020
Beds
1
Ownership / control type
Private (for profit)
Facility address
6345 54TH Ave N
Saint Petersburg, FL 33709

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Florida Specialty Surgery CenterCCN 10C0001511
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1073741Florida Specialty Surgery Center LLC6345 54TH Ave N, Saint Petersburg, FL 33709Certificate of waiverSep 13, 2027

National Provider Directory

National Provider Directory

Locations

6333 54th Ave N
St Petersburg, FL 33709
Phone (727) 548-6100

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1376748228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-548-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-497-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SPECIALTY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "KAZI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-497-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.