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NPI 1528766870

NPI 1528766870 : GULF COAST SURGICAL SUITES, LLC : NEW PORT RICHEY, FL

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General NPI Number Information
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    NPI Number           |    1528766870
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    Entity Type          |    Organization 
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    Legal Business Name  |    GULF COAST SURGICAL SUITES, LLC 
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Dates
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    Enumeration Date     |    02/16/2023
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    Last Update Date     |    06/26/2025
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Provider Practice Location Address
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    Address Line         |    8718 TROUBLE CREEK RD 
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    City                 |    NEW PORT RICHEY
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    State                |    FL
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    Zip                  |    34653-7012
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    Country              |    US
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    Telephone            |    813-967-9288
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8718 TROUBLE CREEK RD 
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    City                 |    NEW PORT RICHEY
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    State                |    FL
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    Zip                  |    34653-7012
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    Country              |    US
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    Telephone            |    727-312-2605
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    Fax                  |    727-312-2604
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Authorized Official
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    Title or Position    |    AUTHORIZED MEMBER
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    Name                 |     ERIC HARRISON SINCOFF 
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    Credential           |    MD
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    Telephone            |    727-312-2605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    
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    License Number State |    
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