Organization
SUNCOAST OBSTETRICS AND GYNECOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY ANN LAWLOR (ASSISTANT MANAGER)
(352) 564-8245
Entity
Organization
Contact information
Practice address
582 SE 7TH AVE, CRYSTAL RIVER, FL 34429-4840
(352) 564-8245
Mailing address
PO BOX 1117, CRYSTAL RIVER, FL 34423-1117
(352) 564-8245
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME62824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269427100
—
FL
Enumeration date
10/10/2007
Last updated
01/06/2016
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