CARDIOTHORACIC SURGERY OF HYDE PARK INC NPI 1093024333

NPI Information

  • NPI: 1093024333
  • Provider Name: CARDIOTHORACIC SURGERY OF HYDE PARK INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MILLENNIUM HEALTH AND WELLNESS
  • CLIA Number: 10D2054268
  • Address: 8950 9TH ST N STE 102
    ST PETERSBURG, FL
    ZIP 33702
  • Phone: (727) 498-8898

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NPI Details

CARDIOTHORACIC SURGERY OF HYDE PARK INC is a family medicine in St Petersburg, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CARDIOTHORACIC SURGERY OF HYDE PARK INC NPI is 1093024333. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Millennium Health And Wellness.

The provider's business location address is:

8950 9TH ST N STE 102
ST PETERSBURG, FL
ZIP 33702-001
Phone: (727) 498-8898
Fax: (727) 800-6959

The provider's authorized official is Leah Teekell-taylor .
The authorized official title is Owner/provider and has the following contact phone number (727) 498-8898.

The CLIA number assigned to this NPI record is 10D2054268 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2010 and was last updated on 3/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0011XInternal MedicineInterventional CardiologyNo
2207R00000XInternal MedicineNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11790390011MEDICAIDFLORIDA
21609489541MEDICAIDFLORIDA
31982649935MEDICAIDFLORIDA
41912971292MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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