| Suncoast Center Inc | |
|
4010 Central Ave St Petersburg FL 33711-1239 | |
| (727) 327-7656 | |
| (727) 322-2103 |
| Full Name | Suncoast Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4010 Central Ave, St Petersburg, Florida |
| Authorized Official Name and Position | Barbara Daire (PRESIDENT/CEO) |
| Authorized Official Contact | 7273277656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Center Inc Po Box 10970 St Petersburg FL 33733-0970 Ph: (727) 327-7656 | Suncoast Center Inc 4010 Central Ave St Petersburg FL 33711-1239 Ph: (727) 327-7656 |
| NPI Number | 1740950617 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740950617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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