Organization
SUNCOAST MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YAJAIDA ARISTHYL APRN (MGR)
(239) 687-0194
Entity
Organization
Contact information
Practice address
1154 LEE BLVD STE 4, LEHIGH ACRES, FL 33936-4852
(239) 368-5757
Mailing address
3208 NW 1ST AVE, CAPE CORAL, FL 33993-6776
(239) 687-0194
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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