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Organization
SUNCOAST MEDICAL CENTERS OF SW FL LLC
Active
Organization
SUNCOAST MEDICAL CENTERS OF SW FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALDIR A LOPEZ ACOSTA MD (MBR)
(347) 852-5705
Entity
Organization
Contact information
Practice address
1154 LEE BLVD, STE 4, LEHIGH ACRES, FL 33936-4852
(347) 852-5705
Mailing address
1154 LEE BLVD, STE 4, LEHIGH ACRES, FL 33936-4852
(347) 852-5705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME109802
FL
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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