MEDICARE: SUNCOAST COMMUNITY HEALTH CENTERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1366391591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNCOAST COMMUNITY HEALTH CENTERS INC

Provider Business Mailing Address
First Line	:	313 S LAKEWOOD DR
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-2815
Country	:	US
Telephone Number	:	813-349-7900
Fax Number	:

Provider Business Practice Location Address
First Line	:	3624 CAUSEWAY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-5194
Country	:	US
Telephone Number	:	813-653-6100
Fax Number	:	855-711-0314

Authorized Official
Title or Position	:	CFO
Name	:	SUSAN PELTZ
Credential	:
Telephone Number	:	813-215-2867

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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