St Petersburg Medical Center LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

ME92656 Issued in FL

Legal business name

ST PETERSBURG MEDICAL CENTER LLC

Practice address

335 31St South
St. Petersburg, FL 33712-1419

Phone

(727) 289-7139

Fax

(727) 289-7140

NPI assigned

Sep 20, 2011

Last updated

Feb 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nasser Razack, MDNPI 1225141328

Title

President

Phone

(727) 289-7139

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Nasser Razack, M.D.

  • Diagnostic Radiology Physician
  • Detroit, MI
  • NPI 1225141328

  FL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1710260336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 31ST SOUTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337121419",
            "telephone_number": "727-289-7139",
            "fax_number": "727-289-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 31ST SOUTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337121419",
            "telephone_number": "727-289-7139",
            "fax_number": "727-289-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETERSBURG MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "RAZACK",
        "authorized_official_first_name": "NASSER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-289-7139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME92656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Petersburg Gastroenterology Associates LLC
• St Petersburg Kidney Care LLC (St. Petersburg Kidney Center)
• St Petersburg Kidney Care South LLC (St. Petersburg Kidney Center South)
• St Petersburg Limb and Brace, Inc.
• St Petersburg Maternal Fetal Medicine Associates
• St Petersburg Nursing and Rehab Opco LLC (Vivo Healthcare St Petersburg)
• St Petersburg Pain & Urgent Care
• St Petersburg Psychotherapy, LLC
• St Petersburg Skin and Laser Center LLC
• St Petersburg SNF Operations LLC

• Vascular & Interventional Radiology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.