# SUNCOAST PATHOLOGY

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

## Provider details

- **NPI number:** 1487601233
- **Authorized official:** WILLIAM G ROTH M.D. (VICE PRESIDENT/SECRETARY)
- **Authorized official phone:** (941) 483-3319

## Contact information

- **Practice address:** 446 TAMIAMI TRL S, SECOND FLOOR, VENICE, FL 34285-2625
- **Practice address phone:** (941) 483-3319
- **Practice address fax:** (941) 483-3406
- **Mailing address:** 446 TAMIAMI TRL S, SECOND FLOOR, VENICE, FL 34285-2625
- **Mailing address phone:** (941) 483-3319
- **Mailing address fax:** (941) 483-3406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | 800000658 | FL | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | 800000658 | FL | — |
| 207ZI0100X | Immunopathology Physician | 800000658 | FL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 800000658 | FL | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | 800000658 | FL | — |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/18/2011