Organization
SUNCOAST COMMUNITY HEALTH CENTER, INC
Active
Other names
Palm River Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RODRIGUEZ (CFO)
(813) 349-7563
Entity
Organization
Contact information
Practice address
7728 PALM RIVER RD, TAMPA, FL 33619-4215
(813) 630-3600
(866) 317-9074
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7588
(813) 349-7596
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/22/2020
Last updated
11/03/2020
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