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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
333600000X
Pharmacy
Primary
PH11906
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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