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SURGICAL GROUP OF GAINESVILLE PA
NPI 1396737615
Surgery in Gainesville, FL

Active since August 23, 2005CLIA 10D2184735 · Waiver
1143 NW 64TH TER, GAINESVILLE, FL 32605(352) 331-1201(352) 331-5273 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Surgical Group Of Gainesville Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL GROUP OF GAINESVILLE PA (NPI 1396737615) is a healthcare organization registered as a surgery in Gainesville, Florida and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Panagiotis Sarantos, President, as its authorized official.

NPPES Registry Identity

NPI1396737615
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL GROUP OF GAINESVILLE PA
Location Address1143 NW 64TH TERGainesville, FL 32605-4218
Mailing Address1143 Nw 64th TerGainesville, FL 32605-4218 · (352) 331-1201 · Fax (352) 331-5273
Phone(352) 331-1201
Fax(352) 331-5273
Organization SubpartNo
Authorized OfficialPanagiotis SarantosPresident · (352) 331-1201
Enumeration DateAugust 23, 2005
Last NPPES UpdateApril 25, 2012
✔ NPI 1396737615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME0060950
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1143 NW 64TH TER, Gainesville, FL 32605
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Other Identifiers 2

Medicare ID-Type Unspecified21536FL
Medicaid253318901FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2184735

Surgical Group Of Gainesville PA · Gainesville, FL
Active · expires May 23, 2028
CLIA Number10D2184735
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorPanagiotis Sarantos
Laboratory Phone(352) 331-1201
Laboratory LocationSurgical Group Of Gainesville PA1143 NW 64th Terr, Gainesville, FL 32605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. N EARLE PICKENS MD
Surgery
1143 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 332-9611
LINDA C MCMAHON CST,CFA
1143 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 331-1201
ROBERT L R WESLY MD PHD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1143 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 377-6010
KAYLEIGH MICHELLE HARRIS PA-C
Physician Assistant (Surgical)
1143 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 331-1201
DR. JEFFREY L ROSE M.D.
Surgery
1143 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 331-1201
DR. BRIAN E PICKENS MD
Surgery
1143 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 331-1201
DR. PANAGIOTIS SARANTOS MD
Surgery
1143 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 331-1201
DR. FRANCISCO IGOR BULCAO DE MACEDO M.D.
Surgery
1143 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 331-1201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Group Of Gainesville PA's NPI number?

The NPI number for Surgical Group Of Gainesville PA is 1396737615. It was assigned to this organization in the NPPES registry on August 23, 2005.

Where is Surgical Group Of Gainesville PA located?

Surgical Group Of Gainesville PA is located at 1143 NW 64th Ter, Gainesville, FL 32605. The listed phone number is (352) 331-1201.

What is Surgical Group Of Gainesville PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Surgical Group Of Gainesville PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2184735) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgical Group Of Gainesville PA was last updated on April 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.