PHYSICIANS PROFESSIONAL ALLIANCE, LLC
NPI 1477179463
Surgery in Brandon, FL

Q: What is Physicians Professional Alliance, LLC's specialty?

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

Active since June 25, 2020

519 MEDICAL OAKS AVE, BRANDON, FL 33511(813) 685-7995(813) 685-8802 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2020, Jul 2, 2020, Jun 25, 2020 (3 updates tracked since 2020).

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About Physicians Professional Alliance, Llc NPPES

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

PHYSICIANS PROFESSIONAL ALLIANCE, LLC (NPI 1477179463) is a healthcare organization registered as a surgery in Brandon, Florida and active in the NPI registry since June 2020. The organization lists Gopal S Grandhige, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1477179463

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NamePHYSICIANS PROFESSIONAL ALLIANCE, LLC

Location Address519 MEDICAL OAKS AVEBrandon, FL 33511-5961

Mailing Address519 Medical Oaks AveBrandon, FL 33511-5961 · (813) 685-7995 · Fax (813) 685-8802

Phone(813) 685-7995

Fax(813) 685-8802

Organization SubpartYesParent: Suncoast Surgical Associates P A

Authorized OfficialGopal S GrandhigeTreasurer · (813) 684-6006

Enumeration DateJune 25, 2020

Last NPPES UpdateJuly 6, 20203 updates tracked since enumeration

NPPES CertifiedJuly 6, 2020

✔ NPI 1477179463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

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.

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X

519 MEDICAL OAKS AVE, Brandon, FL 33511

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

DR. IN SOON PARK MD

Surgery