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NPI Code Detail

MEDICARE: SUNCOAST COMMUNITY HEALTH CENTERS INC

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
13336C0003XCommunity/Retail Pharmacy
23336C0002XClinic PharmacyPH26178FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12135419OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912273285
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNCOAST COMMUNITY HEALTH CENTERS INC
Provider Business Mailing Address
First Line : PO BOX 1349
Second Line :
City : RUSKIN
State : FL
Zip : 33575-1349
Country : US
Telephone Number : 813-349-7649
Fax Number : 813-349-7629
Provider Business Practice Location Address
First Line : 508 N MARYLAND AVE
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-3820
Country : US
Telephone Number : 813-349-7649
Fax Number : 813-349-7629
Authorized Official
Title or Position : PHARMACY DIRECTOR
Name : JEFF HUNT
Credential : PHARMACIST
Telephone Number : 813-349-7859
Provider Enumeration Date : 03/30/2012
Last Update Date : 03/30/2015

Similar Medicare Providers

1073519245 — MRS. CAROL S. THOMPSON CNM
Practice Location Address:
508 N MARYLAND AVE
PLANT CITY, FL
33563-3820
Practice Phone: 813-349-7600
Practice Fax: 813-938-6423
1700805819 — DR. DANA EDWARD PERRIN MD
Practice Location Address:
508 N MARYLAND AVE
PLANT CITY, FL
33563-3820
Practice Phone: 813-349-7600
Practice Fax: 813-349-7661
1548325491 — DR. HARVEY RANDOLPH VALDEZ D.M.D.
Practice Location Address:
508 N MARYLAND AVE
PLANT CITY, FL
33563-3820
Practice Phone: 813-349-7600
Practice Fax: 813-349-7661
1225165806 — ROSEMARY A CLANTON ARNP
Practice Location Address:
508 N MARYLAND AVE
PLANT CITY, FL
33563-3820
Practice Phone: 813-349-7600
Practice Fax: 813-349-7661
1891925061 — BRETT FRAZIER M.D.
Practice Location Address:
508 N MARYLAND AVE
PLANT CITY, FL
33563-3820
Practice Phone: 813-349-7600
Practice Fax: 813-349-7661
1386996742 — MS. GUADALUPE LAMAS ARNP
Practice Location Address:
508 N MARYLAND AVE
PLANT CITY, FL
33563-3820
Practice Phone: 813-349-7600
Practice Fax: 813-938-6423

Directions to “SUNCOAST COMMUNITY HEALTH CENTERS INC ” Practice Location

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