| Suncoast Mobile Medical Bus | |
|
14254 Martin Luther King Blvd Dover FL 33527-4414 | |
| (813) 349-7700 | |
| (813) 349-7761 |
| Full Name | Suncoast Mobile Medical Bus |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 14254 Martin Luther King Blvd, Dover, Florida |
| Authorized Official Name and Position | Robert R Rodriguez (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8133497569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Mobile Medical Bus 13110 Elk Mountain Dr Riverview FL 33579-7182 Ph: (813) 349-7563 | Suncoast Mobile Medical Bus 14254 Martin Luther King Blvd Dover FL 33527-4414 Ph: (813) 349-7700 |
| NPI Number | 1073868790 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 07/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073868790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Tom Lee Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14254 Martin Luther King Blvd, Dover, FL 33527 Phone: 813-349-7700 Fax: 813-349-7761 | |
Greater Good Enterprises, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1326 Rushgrove Cir, Dover, FL 33527 Phone: 941-809-1708 |