Organization
SUNCOAST COMMUNITY HEALTH CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PELTZ CFO (CHIEF FINANCIAL OFFICER)
(813) 349-7586
Entity
Organization
Contact information
Practice address
820 15TH ST SE, RUSKIN, FL 33570-3357
(813) 349-7800
(813) 349-7596
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7588
(813) 349-7596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
04/24/2025
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