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Organization
SUNCOAST MEDICAL CLINIC LLC
Active
Organization
SUNCOAST MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE L. ETTEL M.D. (VICE PRESIDENT)
(727) 824-8357
Entity
Organization
Contact information
Practice address
601 7TH ST S, ST PETERSBURG, FL 33701-4704
(727) 824-8357
(727) 824-3132
Mailing address
601 7TH ST S, ST PETERSBURG, FL 33701-4704
(727) 824-8357
(727) 824-3132
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
11/30/2007
Last updated
05/06/2008
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