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Organization
SUN COAST HOSPITAL INC
Active
Organization
SUN COAST HOSPITAL INC
Active
Parent organization
SUN COAST HOSPITAL INC
Other names
Krug Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN COAST HOSPITAL INC
Authorized official
DARRYL LENTZ (CFO)
(727) 586-7164
Entity
Organization
Contact information
Practice address
1559 INDIAN ROCKS RD S, LARGO, FL 33770-4542
(727) 588-0336
Mailing address
PO BOX 409841, ATLANTA, GA 30384-9841
(727) 588-0336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77073
BCBS OF FL GROUP NUMBER
FL
Enumeration date
12/19/2006
Last updated
12/20/2007
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