Organization
SUNCOAST COMMUNITY HEALTH CENTERS, INC
Active
Other names
Suncoast Mobile Medical Bus
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R RODRIGUEZ (CHIEF FINANCIAL OFFICER)
(813) 349-7569
Entity
Organization
Contact information
Practice address
14254 MARTIN LUTHER KING BLVD, DOVER, FL 33527-4414
(813) 349-7700
(813) 349-7761
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7563
(813) 349-7596
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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