# EAST BAY FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063665867
- **Authorized official:** DR. ROHIT KUMAR SURI MD (PRESIDENT)
- **Authorized official phone:** (727) 412-8209

## Contact information

- **Practice address:** 3387 3391 EASY BAY DRIVE, LARGO, FL 33771
- **Practice address phone:** (727) 412-8209
- **Practice address fax:** (727) 412-8207
- **Mailing address:** 3387 3391 EASY BAY DRIVE, LARGO, FL 33771
- **Mailing address phone:** (727) 412-8209
- **Mailing address fax:** (727) 412-8207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME85329 | FL | Yes |

## Other

- **Enumeration date:** 10/24/2008
- **Last updated:** 10/24/2008