Organization
SUNCOAST COMMUNITY HEALTH CENTERS, INC
Active
Other names
Brandon Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R RODRIGUEZ (CFO)
(813) 349-7563
Entity
Organization
Contact information
Practice address
125 N MOON AVE, SUITE A, BRANDON, FL 33510-4431
(813) 643-6690
Mailing address
PO BOX 40, DOVER, FL 33527-0040
(813) 643-6690
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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