| Sun Coast Family Care Center | |
|
13540 Walsingham Rd Largo FL 33774-3546 | |
| (727) 593-5492 | |
| Not Available |
| Full Name | Sun Coast Family Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 13540 Walsingham Rd, Largo, Florida |
| Authorized Official Name and Position | Darryl Lentz (CFO) |
| Authorized Official Contact | 7275867164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Coast Family Care Center Po Box 409841 Atlanta GA 30384-9841 Ph: (727) 593-5492 | Sun Coast Family Care Center 13540 Walsingham Rd Largo FL 33774-3546 Ph: (727) 593-5492 |
| NPI Number | 1770647588 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 12/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770647588 | NPI | - | NPPES |
| 77073 | Other | FL | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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