OrganizationActive
Medical Specialty Clinics LLC
NPI 1801109889 · Medical Specialty Clinic/Center · St Petersburg, FL
Provider details
- NPI number
- 1801109889
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathy Gordon, Mgrm(352) 239-4659
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
860 S Village Dr N
105
St Petersburg, FL 33716-3024
Phone: (352) 239-4659
Approximate (ZIP-level) locationGet directions
Mailing address
860 S Village Dr N
St Petersburg, FL 33716-3024
Registry dates
- Enumerated
- 2010-07-20
- Last updated
- 2010-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.