Organization
SUNCOAST SURGICAL ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANILO JOSE PORRAS (OFFICE MANAGER)
(813) 685-7995
Entity
Organization
Contact information
Practice address
519 MEDICAL OAKS AVE, BRANDON, FL 33511-5961
(813) 685-7995
(813) 685-8802
Mailing address
519 MEDICAL OAKS AVE, BRANDON, FL 33511-5961
(813) 685-7995
(813) 685-8802
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME72639
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME72639
FL
Other
Enumeration date
02/23/2007
Last updated
08/07/2024
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