Organization Active NPI

Crna Services of Punta Gorda PA

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1417114646
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.