Organization
SUNCOAST CANCER INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY L HEINRICH MD (OWNER)
(941) 200-1125
Entity
Organization
Contact information
Practice address
1217 EAST AVE SOUTH, STE 201-203, SARASOTA, FL 34239-2344
(941) 200-1125
(941) 200-1126
Mailing address
1217 EAST AVE SOUTH, STE 201-203, SARASOTA, FL 34239-2344
(941) 200-1125
(941) 200-1126
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME111369
MEDICAL LICENSE
FL
Enumeration date
10/05/2015
Last updated
10/06/2020
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