Organization
SUNCOAST PACE, INC.
Active
Other names
SUNCOAST NEIGHBORLY CARE, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
SAIDA BOUHAMID (CFO)
(727) 523-3339
Entity
Organization
Contact information
Practice address
6774 102ND AVE N, PINELLAS PARK, FL 33782-2909
(727) 289-0062
Mailing address
5771 ROOSEVELT BLVD, CLEARWATER, FL 33760-3407
(727) 586-4432
(727) 523-3342
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005577500
—
FL
Enumeration date
03/30/2012
Last updated
01/28/2025
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