Active NPI
Crna Services of Punta Gorda PA
- Specialist
- St Petersburg, FL
National Provider Identifier
1417114646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CRNA SERVICES OF PUNTA GORDA PA
- Practice address
- 2600 Dr MLK Jr St N Suite 600
St Petersburg, FL 33704 - Phone
- (727) 823-5512
- Fax
- (727) 823-5509
- NPI assigned
- May 16, 2008
- Last updated
- May 16, 2008
- 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
- Dr. Benard Tortorice, MD
- Title
- Director
- Phone
- (727) 823-5555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2600 Dr MLK Jr St N Suite 600
St Petersburg, FL 33704
Mailing address
PO Box 24885
Miami, FL 33102-4885
Phone (727) 823-5512
National Provider Directory
National Provider DirectoryLocations
2600 Mlk Jr St N
Ste 600
St Petersburg, FL 33704
Phone (727) 823-5512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210896000000",
"number": "1417114646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24885",
"city": "MIAMI",
"state": "FL",
"postal_code": "331024885",
"telephone_number": "727-823-5512",
"fax_number": "727-823-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 DR MLK JR ST N SUITE 600",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33704",
"telephone_number": "727-823-5512",
"fax_number": "727-823-5509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRNA SERVICES OF PUNTA GORDA PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A",
"authorized_official_last_name": "TORTORICE",
"authorized_official_first_name": "BENARD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "727-823-5555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.