Organization
SUNCOAST INTERNAL MEDICINE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN MINICOZZI (ADMINISTRATIVE ASSISTANT)
(727) 595-2519
Entity
Organization
Contact information
Practice address
13644 WALSINGHAM RD, LARGO, FL 33774-3532
(757) 595-2519
(727) 595-3872
Mailing address
13644 WALSINGHAM RD, LARGO, FL 33774-3532
(757) 595-2519
(727) 595-3872
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
OS 9713
FL
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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