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General NPI Number Information
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NPI Number | 1285644799
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Entity Type | Organization
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Legal Business Name | SUNCOAST COMMUNITY HEALTH CENTERS INC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 820 15TH ST SE
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City | RUSKIN
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State | FL
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Zip | 33570-5471
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Country | US
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Telephone | 813-349-7800
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Fax | 813-349-7861
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Provider Business Mailing Address
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Address Line | 13110 ELK MOUNTAIN DR
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City | RIVERVIEW
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State | FL
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Zip | 33579-7182
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Country | US
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Telephone | 813-349-7567
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Fax | 813-349-7596
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | SUSAN PELTZ
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Credential | CFO
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Telephone | 813-349-7586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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