| Suncoast Ur Llc | |
|
4144 N Armenia Ave Suite 301 Tampa FL 33607-6400 | |
| (813) 875-0122 | |
| (813) 875-0208 |
| Full Name | Suncoast Ur Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4144 N Armenia Ave, Tampa, Florida |
| Authorized Official Name and Position | Arlene M Martinez (PRESIDENT) |
| Authorized Official Contact | 8138750122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Ur Llc 4144 N Armenia Ave Suite 301 Tampa FL 33607-6400 Ph: (813) 875-0122 | Suncoast Ur Llc 4144 N Armenia Ave Suite 301 Tampa FL 33607-6400 Ph: (813) 875-0122 |
| NPI Number | 1679581722 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679581722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME53533 (Florida) | Primary |
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