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Organization
SUNCOAST COMMUNITY HEALTH CENTER INC
Active
Organization
SUNCOAST COMMUNITY HEALTH CENTER INC
Active
Other names
Brandon Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RODRIGUEZ (CFO)
(813) 349-7563
Entity
Organization
Contact information
Practice address
313 S LAKEWOOD DR, BRANDON, FL 33511-2815
(913) 349-7900
(888) 853-7318
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7588
(813) 349-7596
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029557428
—
FL
Enumeration date
10/22/2020
Last updated
11/03/2020
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