Active NPI
Premier Heart Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PREMIER HEART SURGERY CENTER LLC
- Practice address
- 1470 N Florida Ave Ste 120
Lakeland, FL 33805-3637 - Phone
- (813) 788-1400
- Fax
- (813) 788-7691
- NPI assigned
- Jan 8, 2025
- Last updated
- Oct 6, 2026
- 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
- Sunil Gupta, MD
- Title
- President
- Phone
- (863) 529-2322
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1470 N Florida Ave Ste 120
Lakeland, FL 33805-3637
Mailing address
38035 Medical Center Ave
Zephyrhills, FL 33540-1384
Phone (813) 788-1400
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 |
|---|---|---|---|
| 10D2334967 | Premier Heart Surgery Center LLC | Certificate of waiver | Dec 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
1470 N Florida Ave
Ste 120
Lakeland, FL 33805
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.
-
- Cardiovascular Disease Physician
- Zephyrhills, FL
- NPI 1508979311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1497565972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38035 MEDICAL CENTER AVE",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335401384",
"telephone_number": "813-788-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 N FLORIDA AVE STE 120",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053637",
"telephone_number": "813-788-1400",
"fax_number": "813-788-7691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEART SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-08",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "SUNIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-529-2322",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.