| Suncoast Medical Clinic Llc | |
|
601 7th St S St Petersburg FL 33701-4704 | |
| (727) 824-8357 | |
| Not Available |
| Full Name | Suncoast Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 601 7th St S, St Petersburg, Florida |
| Authorized Official Name and Position | David Bailey (CEO) |
| Authorized Official Contact | 7278248357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Medical Clinic Llc 601 7th St S St Petersburg FL 33701-4704 Ph: (727) 824-8357 | Suncoast Medical Clinic Llc 601 7th St S St Petersburg FL 33701-4704 Ph: (727) 824-8357 |
| NPI Number | 1497866537 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 01/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497866537 | NPI | - | NPPES |
| 079074501 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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