St. Petersburg Endoscopy Center Llc

LBN: St. Petersburg Endoscopy Center Llc
St. Petersburg Endoscopy Center Llc is an health care organization with primary practice located at 560 Jackson Street North Suite 200, St. Petersburg FL 33705-1449. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. St. Petersburg Endoscopy Center Llc can be contacted via phone (727) 820-7500, or through Desai, Chetan K via phone (727) 820-7500.

Contact Information

Primary practice address
560 Jackson Street North Suite 200 St. Petersburg FL 33705-1449
Phone: (727) 820-7500
Fax: (727) 820-6333
Website:
Map and Directions
Authorized official contact:
Name: Desai, Chetan K Doctor of Medicine (MD)
Phone: (727) 820-7500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 1247 Florida
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 14960618 Florida

Profile Details

NPI number 1689682247
LBN Legal business name St. Petersburg Endoscopy Center Llc
DBA Doing business as
Authorized official Desai, Chetan K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Sep 25th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689682247 NPPES
Florida MEDICAID 076202400

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