Organization
SUNCOAST SENIOR CARE CONSULTANTS.LLC
Active
Other names
Suncoast Hearing Services Plus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA KIPP CLARK AU.D (OWNER)
(941) 747-7620
Entity
Organization
Contact information
Practice address
5304 MANATEE AVE W, BRADENTON, FL 34209-3743
(941) 747-7620
(941) 747-7148
Mailing address
5304 MANATEE AVE W, BRADENTON, FL 34209-3743
(941) 747-7620
(941) 747-7148
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
AY898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003967300
—
FL
Enumeration date
06/01/2011
Last updated
04/08/2013
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