Organization

Mgh Surgicalist Pllc

Trauma Surgery Physician in Little Rock, AR(View on Map)

Legal Business Name

Mgh Surgicalist Pllc

NPI Number

1063050573

NPI Type

Organization

Enumeration Date

12/16/2019

Specialties

(Taxonomies)

Code

2086S0127X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 21647
5 SAINT VINCENT CIR

City

Tampa
Little Rock

State

FL
AR

Postal Code

33622-1647
72205-5412

Country

US
US

Telephone Number

(813) 530-5043
(813) 530-5043

Authorized Official

Name

Dr. Mit Desai

Title or Position

CEO

Telephone Number

(813) 530-5043

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/16/2019

Provider Address