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Organization
SUNCOAST OBSTETRICS AND GYNECOLOGY PA
Active
Organization
SUNCOAST OBSTETRICS AND GYNECOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY ANN LAWLOR (ASSISTANT MANAGER)
(352) 564-8245
Entity
Organization
Contact information
Practice address
582 SE 7TH AVE, CRYSTAL RIVER, FL 34429-4840
(352) 564-8245
Mailing address
PO BOX 1117, CRYSTAL RIVER, FL 34423-1117
(352) 564-8245
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME62824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269427100
—
FL
Enumeration date
10/10/2007
Last updated
01/06/2016
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