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Organization

SUNCOAST TRIM CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VITALY BATISHEV (MANAGING MEMBER)
(941) 900-4290
Entity
Organization

Contact information

Practice address
1101 TAMIAMI TRL S STE 103Q, VENICE, FL 34285-4133
(941) 900-4290
Mailing address
1101 TAMIAMI TRL S STE 103Q, VENICE, FL 34285-4133
(941) 900-4290

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
03/26/2026
Last updated
03/26/2026
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