# SUNCOAST UR INC

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

## Provider details

- **NPI number:** 1750682944
- **Authorized official:** DR. ARLENE M MARTINEZ-DELIO M.D. (MGMR)
- **Authorized official phone:** (813) 839-7390

## Contact information

- **Practice address:** 18958 DALE MABRY HWY N, SUITE 102, LUTZ, FL 33548-4911
- **Practice address phone:** (813) 839-7390
- **Practice address fax:** (813) 333-5994
- **Mailing address:** 18958 DALE MABRY HWY N, SUITE 102, LUTZ, FL 33548-4911
- **Mailing address phone:** (813) 839-7390
- **Mailing address fax:** (813) 333-5994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME0053353 | FL | Yes |

## Other

- **Enumeration date:** 11/04/2010
- **Last updated:** 11/04/2010