# SUNCOAST SURGICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477878197
- **Authorized official:** DR. C JOHN ABLAN MD (MANAGING PARTNER)
- **Authorized official phone:** (352) 596-5919

## Contact information

- **Practice address:** 14540 CORTEZ BLVD, SUITE 123, BROOKSVILLE, FL 34613-6056
- **Practice address phone:** (352) 596-5919
- **Mailing address:** PO BOX 116307, ATLANTA, GA 30368-6307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2010
- **Last updated:** 07/12/2010