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Organization
SUNCOAST SENIOR CARE CONSULTANTS.LLC
Active
Organization
SUNCOAST SENIOR CARE CONSULTANTS.LLC
Active
Other names
Suncoast Hearing Services Plus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA KIPP CLARK AU.D (OWNER)
(941) 747-7620
Entity
Organization
Contact information
Practice address
5304 MANATEE AVE W, BRADENTON, FL 34209-3743
(941) 747-7620
(941) 747-7148
Mailing address
5304 MANATEE AVE W, BRADENTON, FL 34209-3743
(941) 747-7620
(941) 747-7148
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
AY898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003967300
—
FL
Enumeration date
06/01/2011
Last updated
04/08/2013
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