Provider Demographics
NPI:1750333746
Name:NORTH PINELLAS SURGERY CENTER LLC
Entity Type:Organization
Organization Name:NORTH PINELLAS SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR CFO
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-771-8333
Mailing Address - Street 1:2323 CURLEW RD
Mailing Address - Street 2:BUILDING 5
Mailing Address - City:DUNDEIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-9307
Mailing Address - Country:US
Mailing Address - Phone:727-771-8333
Mailing Address - Fax:727-771-8844
Practice Address - Street 1:2323 CURLEW RD
Practice Address - Street 2:BUILDING 5
Practice Address - City:DUNDEIN
Practice Address - State:FL
Practice Address - Zip Code:34698-9307
Practice Address - Country:US
Practice Address - Phone:727-771-8333
Practice Address - Fax:727-771-8844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
6800333OtherUNITED HEALTHCARE
FL075258400Medicaid
200768OtherWELLCARE
94944591OtherCIGNA
7494346OtherAETNA
69YOtherBCBS
69YOtherBCBS
7494346OtherAETNA