Organization
SUN COAST PEDIATRIC CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIZWAN QURESHI M.D. (PRESIDENT)
(352) 592-2003
Entity
Organization
Contact information
Practice address
11373 CORTEZ BLVD, SUITE 308, BROOKSVILLE, FL 34613-5414
(352) 592-2003
(352) 592-0433
Mailing address
11373 CORTEZ BLVD, SUITE 308, BROOKSVILLE, FL 34613-5414
(352) 592-2003
(352) 592-0433
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME73643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42558
BC
FL
Enumeration date
02/15/2007
Last updated
08/22/2020
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