Organization
SUNCOAST COMMUNITY HEALTH CENTERS, INC
Active
Other names
Suncoast Mobile Dental Bus II
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RODRIGUEZ (CFO)
(813) 349-7563
Entity
Organization
Contact information
Practice address
313 S LAKEWOOD DR, BRANDON, FL 33511-2815
(813) 349-7900
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7588
(813) 349-7596
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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