Organization
SUNCOAST COMMUNITY HEALTH CENTERS, INC
Active
Other names
Brandon Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R RODRIGUEZ (CFO)
(813) 349-7563
Entity
Organization
Contact information
Practice address
313 S LAKEWOOD DR, BRANDON, FL 33511-2815
(813) 349-7900
(813) 938-6426
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7588
(813) 349-7596
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029557409
—
FL
Enumeration date
12/12/2016
Last updated
12/12/2016
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