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Organization
SUN COAST SURGICAL SUITES LLC
Active
Organization
SUN COAST SURGICAL SUITES LLC
Active
Other names
SUNCOAST SURGICAL SUITES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN LICHT (MANAGING DIRECTOR)
(954) 906-9536
Entity
Organization
Contact information
Practice address
12731 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3632
(954) 906-9536
(954) 302-8736
Mailing address
12350 NW 39TH ST STE 200, CORAL SPRINGS, FL 33065-2418
(954) 906-9536
(954) 302-8736
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
05/17/2022
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