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General NPI Number Information
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NPI Number | 1043183890
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Entity Type | Organization
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Legal Business Name | SUNCOAST BRAIN BALANCE LLC
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Dates
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Enumeration Date | 09/27/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 11902 RACE TRACK RD
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City | TAMPA
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State | FL
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Zip | 33626-3107
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Country | US
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Telephone | 813-749-0872
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Fax |
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Provider Business Mailing Address
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Address Line | 3051 TECH DR N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33716-1001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ADAM SCHOENBAUM
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Credential |
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Telephone | 727-458-9374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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