| Suncoast Community Health Centers Inc | |
|
801 E Baker St Plant City FL 33563-3652 | |
| (813) 349-7600 | |
| (813) 349-7661 |
| Full Name | Suncoast Community Health Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 E Baker St, Plant City, Florida |
| Authorized Official Name and Position | Robert Rodriguez (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8133497563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 801 E Baker St Plant City FL 33563-3652 Ph: (813) 349-7600 |
| NPI Number | 1578573085 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 12/08/2022 |
| Medicare PECOS PAC ID | 3870402548 |
|---|---|
| Medicare Enrollment ID | O20031210000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578573085 | NPI | - | NPPES |
| 029557402 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Z. A. Khan, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N Plant Ave, Plant City, FL 33563 Phone: 813-754-1871 Fax: 813-754-1872 | |
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