| Suncoast Community Health Centers, Inc | |
|
313 S Lakewood Dr Brandon FL 33511-2815 | |
| (813) 349-7900 | |
| (813) 938-6426 |
| Full Name | Suncoast Community Health Centers, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 313 S Lakewood Dr, Brandon, Florida |
| Authorized Official Name and Position | Robert R Rodriguez (CFO) |
| Authorized Official Contact | 8133497563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Community Health Centers, Inc 13110 Elk Mountain Dr Riverview FL 33579-7182 Ph: (813) 349-7588 | Suncoast Community Health Centers, Inc 313 S Lakewood Dr Brandon FL 33511-2815 Ph: (813) 349-7900 |
| NPI Number | 1073057964 |
|---|---|
| Provider Enumeration Date | 12/12/2016 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073057964 | NPI | - | NPPES |
| 029557409 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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