Organization
SUNCOAST MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUTCH EFFMAN (OWNER)
(321) 253-5197
Entity
Organization
Contact information
Practice address
221 N BROAD ST STE 3A, MIDDLETOWN, DE 19709-1070
(321) 253-5197
(321) 253-5199
Mailing address
221 N BROAD ST STE 3A, MIDDLETOWN, DE 19709-1070
(321) 253-5197
(321) 253-5199
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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