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General NPI Number Information
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NPI Number | 1245780394
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Entity Type | Organization
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Legal Business Name | SUNCOAST MEDICAL ASSOCIATES CHARLOTTE PA
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 2484 CARING WAY SUITE B
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5306
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Country | US
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Telephone | 941-208-2519
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Fax | 941-451-2096
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Provider Business Mailing Address
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Address Line | 2484 CARING WAY SUITE B
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5306
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Country | US
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Telephone | 941-208-2519
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Fax | 941-451-2096
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Authorized Official
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Title or Position | OWNER
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Name | SIDNEY PEYKAR
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Credential | M.D.
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Telephone | 941-894-8297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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