Organization
SUNCOAST COMMUNITY HEALTH CENTERS INC
Active
Other names
Tom Lee Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RODRIGUEZ (CHIEF FINANCIAL OFFICER)
(813) 349-7563
Entity
Organization
Contact information
Practice address
14254 MARTIN LUTHER KING BLVD, DOVER, FL 33527-4414
(813) 349-7700
(813) 349-7761
Mailing address
14254 MARTIN LUTHER KING BLVD, DOVER, FL 33527-4414
(813) 349-7700
(813) 349-7761
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029523001
—
FL
Enumeration date
08/08/2006
Last updated
03/23/2016
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