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Organization
SUNCOAST PREMIER MEDICAL LLC
Active
Organization
SUNCOAST PREMIER MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO RENE PEREZ M.D. (OWNER)
(863) 207-6554
Entity
Organization
Contact information
Practice address
40107 HIGHWAY 27 FL 2, DAVENPORT, FL 33837-5901
(352) 243-3555
(352) 243-6614
Mailing address
40107 HIGHWAY 27 FL 2, DAVENPORT, FL 33837-5901
(352) 243-3555
(352) 243-6614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME72969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277533600
—
FL
Enumeration date
08/29/2008
Last updated
12/09/2025
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