Healthcare Provider Details

I. General information

NPI: 1912273285
Provider Name (Legal Business Name): SUNCOAST COMMUNITY HEALTH CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2012
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E BAKER ST
PLANT CITY FL
33563-3652
US

IV. Provider business mailing address

PO BOX 1349
RUSKIN FL
33575-1349
US

V. Phone/Fax

Practice location:
  • Phone: 813-349-7649
  • Fax: 813-349-7629
Mailing address:
  • Phone: 813-349-7649
  • Fax: 813-349-7629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberPH26178
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SUSAN PELTZ
Title or Position: CFO
Credential:
Phone: 813-349-7586