Healthcare Provider Details

I. General information

NPI: 1033036082
Provider Name (Legal Business Name): SUNCOAST MEDICAL CENTRAL FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 US HIGHWAY 27 STE 15
CLERMONT FL
34714-6211
US

IV. Provider business mailing address

PO BOX 470459
CELEBRATION FL
34747-0459
US

V. Phone/Fax

Practice location:
  • Phone: 352-449-3178
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN LEMAY
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 407-446-1072