Organization
SUNCOAST MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN COHEN MD (PHYSICIAN)
(727) 894-1818
Entity
Organization
Contact information
Practice address
601 7TH ST S, ST PETERSBURG, FL 33701-4704
(727) 894-1818
(727) 824-8392
Mailing address
601 7TH ST S, ST PETERSBURG, FL 33701-4704
(727) 894-1818
(727) 824-8392
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
141168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141168
FDA - FACILITY ID NUMBER
FL
01
—
JR0521400
DEPT. OF HEALTH - MAMMO
FL
01
—
JR3252000
DEPARTMENT OF HEALTH
FL
Enumeration date
03/23/2007
Last updated
08/22/2020
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