Organization
SUN COAST SURGICAL SUITES LLC
Active
Other names
SUNCOAST SURGICAL SUITES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN LICHT (MANAGING DIRECTOR)
(954) 906-9536
Entity
Organization
Contact information
Practice address
12731 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3632
(954) 906-9536
(954) 302-8736
Mailing address
12350 NW 39TH ST STE 200, CORAL SPRINGS, FL 33065-2418
(954) 906-9536
(954) 302-8736
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
05/17/2022
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