Organization
SC PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA A. GORKEN (VP, PFS)
(727) 532-1355
Entity
Organization
Contact information
Practice address
620 10TH STREET N, ST PETERSBURG, FL 33705-1407
(727) 532-1355
(727) 266-4928
Mailing address
PO BOX 12868, ST PETERSBURG, FL 33733-2868
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003689300
—
FL
Enumeration date
03/07/2011
Last updated
01/26/2018
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