SUNCOAST OBSTETRICS & GYNECOLOGY PA NPI 1407865942

NPI Information

SUNCOAST OBSTETRICS & GYNECOLOGY, PA is a gynecology obstetrics gynecology in Brooksville, FL. SUNCOAST OBSTETRICS & GYNECOLOGY, PA NPI is 1407865942. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Suncoast Gynecology, Pa.

The provider's business location address is:

11373 CORTEZ BLVD STE 207
BROOKSVILLE, FL
ZIP 34613-405
Phone: (352) 596-8911

The provider's authorized official is Niloufer Kero .
The authorized official title is President and has the following contact phone number (352) 596-8911.

The CLIA number assigned to this NPI record is 10D2095704 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 7/23/2013.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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