| Suncoast Medical Group LLC | |
|
221 N Broad St Ste 3a Middletown DE 19709-1070 | |
| (321) 253-5197 | |
| (321) 253-5199 |
| Full Name | Suncoast Medical Group LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 221 N Broad St Ste 3a, Middletown, Delaware |
| Authorized Official Name and Position | Hutch Effman (OWNER) |
| Authorized Official Contact | 3212535197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Medical Group LLC 221 N Broad St Ste 3a Middletown DE 19709-1070 Ph: (321) 253-5197 | Suncoast Medical Group LLC 221 N Broad St Ste 3a Middletown DE 19709-1070 Ph: (321) 253-5197 |
| NPI Number | 1184340937 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184340937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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