# SUNCOAST INTEGRATIVE HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1619528932
- **Authorized official:** COLBY STAUBS (PRESIDENT)
- **Authorized official phone:** (727) 519-3757

## Contact information

- **Practice address:** 6514 CENTRAL AVE, SAINT PETERSBURG, FL 33707-1330
- **Practice address phone:** (727) 519-3757
- **Mailing address:** 6514 CENTRAL AVE, SAINT PETERSBURG, FL 33707-1330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2019
- **Last updated:** 03/18/2020