Healthcare Provider Details

I. General information

NPI: 1588526248
Provider Name (Legal Business Name): SUNCOAST HAND CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 ARTHUR AVE
ORLANDO FL
32804-2827
US

IV. Provider business mailing address

13880 SE 86TH TER
SUMMERFIELD FL
34491-7924
US

V. Phone/Fax

Practice location:
  • Phone: 352-329-1100
  • Fax:
Mailing address:
  • Phone: 352-329-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CLAYTON STEPHEN HANN
Title or Position: OWNER/MANAGER
Credential:
Phone: 248-933-5809