# SUNCOAST MEDICARE SUPPLY CO. INC.

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

## Provider details

- **NPI number:** 1619933348
- **Authorized official:** MR. BARRY E BALDWIN (PRESIDENT CFO)
- **Authorized official phone:** (727) 821-7015

## Contact information

- **Practice address:** 830 49TH ST N, SAINT PETERSBURG, FL 33710-6612
- **Practice address phone:** (727) 821-7015
- **Practice address fax:** (727) 894-6182
- **Mailing address:** 929 TYRONE BLVD N, SAINT PETERSBURG, FL 33710-6332
- **Mailing address phone:** (727) 821-7015
- **Mailing address fax:** (727) 894-6182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 210 | FL | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 32:00281 | FL | — |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 08/27/2024