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 provides Pediatric Surgery Physician services 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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