Organization
SUNCOAST COMMUNITY HEALTH CENTERS, INC
Active
Other names
Palm River 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
7728 PALM RIVER RD, TAMPA, FL 33619-4215
(813) 349-7567
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7588
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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