| Suncoast Medical Centers Of Sw Fl Llc | |
|
1154 Lee Blvd Ste 4 Lehigh Acres FL 33936-4852 | |
| (347) 852-5705 | |
| Not Available |
| Full Name | Suncoast Medical Centers Of Sw Fl Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1154 Lee Blvd, Lehigh Acres, Florida |
| Authorized Official Name and Position | Baldir A Lopez Acosta (MBR) |
| Authorized Official Contact | 3478525705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Medical Centers Of Sw Fl Llc 1154 Lee Blvd Ste 4 Lehigh Acres FL 33936-4852 Ph: (347) 852-5705 | Suncoast Medical Centers Of Sw Fl Llc 1154 Lee Blvd Ste 4 Lehigh Acres FL 33936-4852 Ph: (347) 852-5705 |
| NPI Number | 1316347263 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 08/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316347263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME109802 (Florida) | Primary |
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