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Organization
SUNCOAST FAMILY MEDICAL ASSOCIATES
Active
Organization
SUNCOAST FAMILY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S GROVE D.O. (PRESIDENT)
(727) 588-9572
Entity
Organization
Contact information
Practice address
12020 SEMINOLE BLVD, LARGO, FL 33778-2805
(727) 588-9572
(727) 584-3832
Mailing address
12020 SEMINOLE BLVD, LARGO, FL 33778-2805
(727) 588-9572
(727) 584-3832
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH5247
FL
207Q00000X
Family Medicine Physician
Primary
OS6098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120374
HUMANA
—
01
—
21242A
BLUE CROSS
FL
05
—
252202100
—
FL
Enumeration date
09/01/2005
Last updated
01/24/2013
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