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Organization
SUNCOAST SURGICAL LLC
Active
Organization
SUNCOAST SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C JOHN ABLAN MD (MANAGING PARTNER)
(352) 596-5919
Entity
Organization
Contact information
Practice address
14540 CORTEZ BLVD, SUITE 123, BROOKSVILLE, FL 34613-6056
(352) 596-5919
Mailing address
PO BOX 116307, ATLANTA, GA 30368-6307
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
04/06/2010
Last updated
07/12/2010
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