Park Medical Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1221 Issued in FL

Legal business name

PARK MEDICAL SURGERY CENTER, LLC

Practice address

5000 Park Street North
Suite 1101
St. Petersburg, FL 33709-2221

Phone

(727) 544-5444

Fax

(727) 544-5441

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kirit Desai

Title

President/Managing Member

Phone

(727) 544-5444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PARK MEDICAL SURGERY CENTER Doing business as

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1942347489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARK STREET NORTH",
            "address_2": "SUITE 1101",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337092221",
            "telephone_number": "727-544-5444",
            "fax_number": "727-544-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PARK STREET NORTH",
            "address_2": "SUITE 1101",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337092221",
            "telephone_number": "727-544-5444",
            "fax_number": "727-544-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEDICAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "KIRIT",
        "authorized_official_title_or_position": "PRESIDENT/MANAGING MEMBER",
        "authorized_official_telephone_number": "727-544-5444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA - ASC LICENSE",
            "identifier": "1221",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK MEDICAL SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neel Parikh, M.D.
• Nick William Parilla, MD
• Don Edward Parish, D.O.
• Mackenzie Parish
• Park Home Healthcare,LLC
• Park Street Dental
• Park Street Women'S Center, P.a.
• Natalie Park, DPT
• Parker Behavioral Consulting, Inc.
• Latina Parker-Critton

• Ambulatory Surgical Clinic/Center in St. Petersburg, FL
• Providers in St. Petersburg, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.