| Suncoast Therapy, Llc | |
|
464073 State Road 200 Yulee FL 32097-6307 | |
| (941) 485-0121 | |
| (941) 485-0519 |
| Full Name | Suncoast Therapy, Llc |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 464073 State Road 200, Yulee, Florida |
| Authorized Official Name and Position | Dawn Wildermuth (OWNER) |
| Authorized Official Contact | 9414850121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Therapy, Llc Po Box 631278 Cincinnati OH 45263-1278 Ph: (941) 485-0121 | Suncoast Therapy, Llc 464073 State Road 200 Yulee FL 32097-6307 Ph: (941) 485-0121 |
| NPI Number | 1295301281 |
|---|---|
| Provider Enumeration Date | 05/31/2021 |
| Last Update Date | 05/31/2021 |
| Certification Date | 05/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295301281 | NPI | - | NPPES |
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