Suncoast Primary Care Llc | |
7145 Mariner Blvd Spring Hill FL 34609-1048 | |
(352) 666-2250 | |
(352) 666-2228 |
Full Name | Suncoast Primary Care Llc |
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Speciality | Internal Medicine |
Location | 7145 Mariner Blvd, Spring Hill, Florida |
Authorized Official Name and Position | Anitha Kolli (MGRM) |
Authorized Official Contact | 3526662250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Suncoast Primary Care Llc 7145 Mariner Blvd Spring Hill FL 34609-1048 Ph: (352) 666-2250 | Suncoast Primary Care Llc 7145 Mariner Blvd Spring Hill FL 34609-1048 Ph: (352) 666-2250 |
NPI Number | 1174691448 |
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Provider Enumeration Date | 12/02/2006 |
Last Update Date | 02/26/2015 |
Medicare PECOS PAC ID | 7315043965 |
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Medicare Enrollment ID | O20070428000027 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174691448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME96148 (Florida) | Primary |
Provider Name | Anitha Kolli |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497766653 PECOS PAC ID: 5991705329 Enrollment ID: I20070108000393 |
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