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Organization
SUNCOAST SURGICAL ASSISTING ASSOCIATES, INC.
Active
Organization
SUNCOAST SURGICAL ASSISTING ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS R RENSHAW JR. PA (OWNER)
(352) 686-3154
Entity
Organization
Contact information
Practice address
8303 BLANTON STREET, SPRING HILL, FL 34606
(352) 686-3154
(352) 688-2751
Mailing address
8303 BLANTON STREET, SPRING HILL, FL 34606
(352) 686-3154
(352) 688-2751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20050027523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB6982
RAILROAD MEDICARE
—
01
—
N0997
WELL CARE
—
01
—
X1587
BLUE CROSS
—
Enumeration date
04/01/2006
Last updated
02/27/2008
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