ROSER PARK MEDICAL CENTER
NPI 1922031939
Family Medicine in Saint Petersburg, FL

Active since July 10, 2006CLIA 10D0964714 · Waiver
500 10TH AVE S, SAINT PETERSBURG, FL 33701(727) 898-4461(727) 502-0841 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roser Park Medical Center NPPES

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

ROSER PARK MEDICAL CENTER (NPI 1922031939) is a healthcare organization registered as a family medicine in Saint Petersburg, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Frederic Judes Guerrier, Owner, as its authorized official.

NPPES Registry Identity

NPI1922031939
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROSER PARK MEDICAL CENTER
Location Address500 10TH AVE SSaint Petersburg, FL 33701-5214
Mailing Address500 10th Ave SSaint Petersburg, FL 33701-5214 · (727) 898-4461 · Fax (727) 502-0841
Fax(727) 502-0841
Organization SubpartNo
Authorized OfficialFrederic Judes GuerrierOwner · (727) 898-4461
Enumeration DateJuly 10, 2006
Last NPPES UpdateNovember 5, 2010
NPI 1922031939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
500 10TH AVE S, Saint Petersburg, FL 33701

Other Identifiers 2

Medicaid37093700FL
Medicare PIN39159FL

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 10D0964714

Roser Park Medical Center · Saint Petersburg, FL
Active · expires Aug 31, 2027
CLIA Number10D0964714
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorFrederic J. Guerrier MD
Laboratory Phone(727) 898-4461
Laboratory LocationRoser Park Medical Center500 10th Avenue South, Saint Petersburg, FL 33701
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 2

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

Nurse Practitioner (Family)
500 10TH AVE S
ST PETERSBURG, FL 33701
Family Medicine
500 10TH AVE S
ST PETERSBURG, FL 33701

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 Roser Park Medical Center's NPI number?

The NPI number for Roser Park Medical Center is 1922031939. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Roser Park Medical Center located?

Roser Park Medical Center is located at 500 10th Ave S, Saint Petersburg, FL 33701. The listed phone number is (727) 898-4461.

What is Roser Park Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Roser Park Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0964714) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roser Park Medical Center was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.