Organization
SUNCOAST VITAL CARE INC
Active
Other names
Suncoast Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
MONTEEN VITOLA (PARNTER)
(352) 796-1222
Entity
Organization
Contact information
Practice address
277 W JEFFERSON ST, BROOKSVILLE, FL 34601-2524
(352) 796-1222
(352) 796-0017
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH 11906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P6348
BCBS
FL
Enumeration date
07/21/2006
Last updated
08/22/2020
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