| Suncoast Integrative Healthcare Llc | |
|
6514 Central Ave Saint Petersburg FL 33707-1330 | |
| (727) 519-3757 | |
| Not Available |
| Full Name | Suncoast Integrative Healthcare Llc |
|---|---|
| Speciality | General Practice |
| Location | 6514 Central Ave, Saint Petersburg, Florida |
| Authorized Official Name and Position | Colby Staubs (PRESIDENT) |
| Authorized Official Contact | 7275193757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Integrative Healthcare Llc 6514 Central Ave Saint Petersburg FL 33707-1330 Ph: () - | Suncoast Integrative Healthcare Llc 6514 Central Ave Saint Petersburg FL 33707-1330 Ph: (727) 519-3757 |
| NPI Number | 1619528932 |
|---|---|
| Provider Enumeration Date | 09/27/2019 |
| Last Update Date | 03/18/2020 |
| Medicare PECOS PAC ID | 8527496918 |
|---|---|
| Medicare Enrollment ID | O20200318001259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619528932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Colby W Staubs |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578880357 PECOS PAC ID: 4284767161 Enrollment ID: I20100728001201 |
| Provider Name | Michelle C Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265792824 PECOS PAC ID: 5991956757 Enrollment ID: I20121105000271 |
| Provider Name | Robert A Epstein |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831118470 PECOS PAC ID: 7719983006 Enrollment ID: I20171215001488 |
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