# SUNCOAST MEDICAL NETWORK 2, INC

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

## Provider details

- **NPI number:** 1225451628
- **Authorized official:** MR. RENE F GOMEZ (CEO)
- **Authorized official phone:** (305) 458-1475

## Contact information

- **Practice address:** 10621 N KENDALL DR, SUITE 211, MIAMI, FL 33176-8708
- **Practice address phone:** (305) 458-1475
- **Practice address fax:** (305) 424-2054
- **Mailing address:** 10621 N KENDALL DR, SUITE 211, MIAMI, FL 33176-8708
- **Mailing address phone:** (305) 458-1475
- **Mailing address fax:** (305) 424-2054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 01/22/2014