WEST PARK SURGERY CENTER LLC NPI 1043272750

NPI Information

  • NPI: 1043272750
  • Provider Name: WEST PARK SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 10D1034504
  • Address: 6640 78TH AVE
    SUITE B
    PINELLAS PARK, FL
    ZIP 33781
  • Phone: (727) 549-0610

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NPI Details

WEST PARK SURGERY CENTER LLC is an ambulatory surgical clinic center in Pinellas Park, FL. WEST PARK SURGERY CENTER LLC NPI is 1043272750. The provider is registered as an organization entity type.

The provider's business location address is:

6640 78TH AVE
SUITE B
PINELLAS PARK, FL
ZIP 33781-053
Phone: (727) 549-0610
Fax: (727) 518-8662

The provider's authorized official is Joshua Helms .
The authorized official title is Chief Executive Officer and has the following contact phone number (813) 549-2134.

The CLIA number assigned to this NPI record is 10D1034504 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 6/26/2023.

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
1282N00000XGeneral Acute Care HospitalNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1101021100MEDICAIDFLORIDA

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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