SUNCOAST MEDICAL CLINIC LLC NPI 1265671812

NPI Information

NPI: 1265671812
Provider Name: SUNCOAST MEDICAL CLINIC LLC
Classification: Clinic/Center - 261QL0400X
Entity Type: Organization

Specialization: Lithotripsy

Address:
601 7TH ST S
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 824-8357
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SUNCOAST MEDICAL CLINIC LLC is a lithotripsy clinic center in St Petersburg, FL. SUNCOAST MEDICAL CLINIC LLC NPI is 1265671812. The provider is registered as an organization entity type.

The provider's business location address is:

601 7TH ST S
ST PETERSBURG, FL
ZIP 33701-704
Phone: (727) 824-8357
Fax: (727) 824-3132

The provider's authorized official is Geroge L Ettel .
The authorized official title is President and has the following contact phone number (727) 894-1818.

The enumeration date for this NPI number is 2/5/2009 and was last updated on 2/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QL0400X	Clinic/Center	Lithotripsy	790	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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