NPIMap

Organization Active NPI

Medical Specialty Clinics LLC

  • Medical Specialty Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1801109889
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MEDICAL SPECIALTY CLINICS LLC
Practice address
860 S Village Dr N
105
St Petersburg, FL 33716-3024
Phone
(352) 239-4659
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Ms. Kathy J Gordon
Title
MGRM
Phone
(352) 239-4659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

860 S Village Dr N
105
St Petersburg, FL 33716-3024

Mailing address

860 S Village Dr N
105
St Petersburg, FL 33716-3024

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1801109889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 S VILLAGE DR N",
            "address_2": "105",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S VILLAGE DR N",
            "address_2": "105",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163024",
            "telephone_number": "352-239-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALTY CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "352-239-4659",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "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 Oct 21, 2010; 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.