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Organization

SUNCOAST COMMUNITY HEALTH CENTERS, INC

Active
Other names
Wimauma 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
16621 LAGOON SHORE BLVD, WIMAUMA, FL 33598-4177
(813) 349-7880
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
12/20/2013
Last updated
07/14/2022
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