# SUNCOAST VITAL CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Suncoast Vital Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639190408
- **Authorized official:** MONTEEN VITOLA (PARTNER)
- **Authorized official phone:** (352) 796-1222

## Contact information

- **Practice address:** 277 W JEFFERSON ST, BROOKSVILLE, FL 34601-2524
- **Practice address phone:** (352) 796-1222
- **Practice address fax:** (352) 796-0017
- **Mailing address:** PO BOX 5047, MERIDIAN, MS 39302-5047
- **Mailing address phone:** (800) 447-4095
- **Mailing address fax:** (601) 482-7490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PH11906 | FL | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/22/2020