| Suncoast Primary Care Specialists | |
|
3733 E Gulf To Lake Hwy Inverness FL 34453-3206 | |
| (352) 465-8001 | |
| (352) 465-8800 |
| Full Name | Suncoast Primary Care Specialists |
|---|---|
| Speciality | Clinic/Center |
| Location | 3733 E Gulf To Lake Hwy, Inverness, Florida |
| Authorized Official Name and Position | Alex Villacastin (PHYSICIAN) |
| Authorized Official Contact | 3523415520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Primary Care Specialists Po Box 640573 Beverly Hills FL 34464-0573 Ph: (352) 746-1558 | Suncoast Primary Care Specialists 3733 E Gulf To Lake Hwy Inverness FL 34453-3206 Ph: (352) 465-8001 |
| NPI Number | 1255479218 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 06/16/2009 |
| Medicare PECOS PAC ID | 9032023221 |
|---|---|
| Medicare Enrollment ID | O20031112000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255479218 | NPI | - | NPPES |
| 32745 | Other | FL | BCBS OF FLORIDA |
| 660075101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | ME0071085 (Florida) | Primary |
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