Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Surgical Group, PA

Organization Pediatric Surgery Physician · NPI 1033194816

Pediatric Surgical Group, PA is a Pediatric Surgery Physician in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

880 6th St S Ste 210
St Petersburg, FL 33701-4827
Phone: (727) 767-4170
Fax: (727) 767-4346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence ME0055290 (FL)

Record details

NPI number1033194816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cathy Clark — Practice Manager · (727) 767-3221
NPI enumeratedDecember 14, 2005
Last updated in NPPESAugust 22, 2020
Mailing address880 6th St S, Suite 210, St Petersburg, FL 33701-4827

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