Organization Active NPI

Laserscopic Surgery Center of Florid, LLC

  • Ambulatory Surgical Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1720185945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1221 Issued in FL
Legal business name
LASERSCOPIC SURGERY CENTER OF FLORID, LLC
Practice address
5000 Park St N
St Petersburg, FL 33709-2221
Phone
(727) 546-6566
Fax
(727) 546-6560
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Craig Robert Wolff, M.D.
Title
Medical Director
Phone
(727) 546-6566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1221 FL Primary

Addresses

Primary practice location

5000 Park St N
St Petersburg, FL 33709-2221

Mailing address

5000 Park St N
St Petersburg, FL 33709-2221
Phone (727) 546-6566

Other identifiers 1

IdentifierTypeStateIssuer
1221OtherFLSTATE OF FLORIDA ASC #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720185945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092221",
            "telephone_number": "727-546-6566",
            "fax_number": "727-546-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092221",
            "telephone_number": "727-546-6566",
            "fax_number": "727-546-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASERSCOPIC SURGERY CENTER OF FLORID, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-546-6566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA ASC #",
            "identifier": "1221",
            "state": "FL"
        }
    ],
    "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 Aug 22, 2020; 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.