Organization
SUNCOAST MEDICAL CLINIC LLC
Active
Organization
SUNCOAST MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BAILEY (CEO)
(727) 824-8357
Entity
Organization
Contact information
Practice address
601 7TH ST S, ST PETERSBURG, FL 33701-4704
(727) 824-8357
Mailing address
601 7TH ST S, ST PETERSBURG, FL 33701-4704
(727) 824-8357
(727) 824-3132
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079074501
—
FL
Enumeration date
08/31/2006
Last updated
01/14/2010
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