SUNCOAST SURGICAL ASSISTING OF FL INC. NPI 1609184258

NPI Information

NPI: 1609184258
Provider Name: SUNCOAST SURGICAL ASSISTING OF FL, INC.

Former Legal Business Name: SEAN D. BONNER, P.A.C., INC.

Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
17362 PINTO LN.
BROOKSVILLE, FL
ZIP 34604
Phone: (352) 796-2791
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SUNCOAST SURGICAL ASSISTING OF FL, INC. is a surgical physician assistant in Brooksville, FL. SUNCOAST SURGICAL ASSISTING OF FL, INC. NPI is 1609184258. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Sean D. Bonner, P.a.c., Inc..

The provider's business location address is:

17362 PINTO LN.
BROOKSVILLE, FL
ZIP 34604-066
Phone: (352) 796-2791
Fax: (352) 686-7154

The provider's authorized official is Sean D. Bonner .
The authorized official title is President and has the following contact phone number (352) 796-2791.

The enumeration date for this NPI number is 9/16/2010 and was last updated on 9/16/2010.

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	363AS0400X	Physician Assistant	Surgical			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P62428	MEDICARE UPIN

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: 5/5/2024

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