Organization Active NPI

Surgicalist Company LLC

  • Surgery Physician
  • Kissimmee, FL
National Provider Identifier
1710327515
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICALIST COMPANY LLC
Practice address
200 N John Young Pkwy
Ste 203
Kissimmee, FL 34741-6601
Phone
(407) 624-3062
Fax
(407) 613-2223
NPI assigned
Jun 26, 2013
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Dr. Mit Desai, MDNPI 1407822422
Title
Ceo
Phone
(407) 624-3062

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
Surgery Physician 208600000X Primary

Addresses

Primary practice location

200 N John Young Pkwy
Ste 203
Kissimmee, FL 34741-6601

Mailing address

200 N John Young Pkwy
Ste 203
Kissimmee, FL 34741-6601
Phone (407) 624-3062

National Provider Directory

National Provider Directory

Locations

200 N John Young Pkwy
Ste 203
Kissimmee, FL 34741
Phone (407) 624-3062

325 Cypress Pkwy
Ste 200
Poinciana, FL 34759
Phone (407) 846-3166

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.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1710327515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N JOHN YOUNG PKWY",
            "address_2": "STE 203",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416601",
            "telephone_number": "407-624-3062",
            "fax_number": "407-613-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N JOHN YOUNG PKWY",
            "address_2": "STE 203",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416601",
            "telephone_number": "407-624-3062",
            "fax_number": "407-613-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICALIST COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "MIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-624-3062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.