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General NPI Number Information
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NPI Number | 1366391591
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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 | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 3624 CAUSEWAY BLVD
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City | TAMPA
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State | FL
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Zip | 33619-5194
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Country | US
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Telephone | 813-653-6100
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Fax | 855-711-0314
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Provider Business Mailing Address
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Address Line | 313 S LAKEWOOD DR
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City | BRANDON
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State | FL
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Zip | 33511-2815
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Country | US
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Telephone | 813-349-7900
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SUSAN PELTZ
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Credential |
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Telephone | 813-215-2867
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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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