MEDICARE: SUNCOAST MEDICAL EQUIPMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1093684193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNCOAST MEDICAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	830 49TH ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-6612
Country	:	US
Telephone Number	:	727-821-7015
Fax Number	:	727-894-6182

Provider Business Practice Location Address
First Line	:	830 49TH ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-6612
Country	:	US
Telephone Number	:	727-821-7015
Fax Number	:	727-894-6182

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DAVID KUPER
Credential	:
Telephone Number	:	727-685-7199

Provider Enumeration Date	:	11/05/2025
Last Update Date	:	11/12/2025

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