ST. PETERSBURG GENERAL SURGERY LLC NPI 1033243274

NPI Information

  • NPI: 1033243274
  • Provider Name: ST. PETERSBURG GENERAL SURGERY LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • CLIA Number: 10D2263543
  • Address: 6450 38TH AVE N
    SUITE 410
    ST PETERSBURG, FL
    ZIP 33710
  • Phone: (727) 344-4200

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NPI Details

ST. PETERSBURG GENERAL SURGERY LLC is a surgery in St Petersburg, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ST. PETERSBURG GENERAL SURGERY LLC NPI is 1033243274. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6450 38TH AVE N
SUITE 410
ST PETERSBURG, FL
ZIP 33710-645
Phone: (727) 344-4200
Fax: (727) 344-4221

The provider's authorized official is Gary Duncan .
The authorized official title is Vp and has the following contact phone number (561) 548-1089.

The CLIA number assigned to this NPI record is 10D2263543 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AF211MEDICARE PINFLORIDA
2DN0917MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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