| Suncoast Primary Care LLC | |
|
7145 Mariner Blvd Spring Hill FL 34609-1048 | |
| (352) 666-2250 | |
| (352) 666-2228 |
| Full Name | Suncoast Primary Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 7145 Mariner Blvd, Spring Hill, Florida |
| Authorized Official Name and Position | Anitha Kolli (MGRM) |
| Authorized Official Contact | 3526662250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Primary Care LLC 7145 Mariner Blvd Spring Hill FL 34609-1048 Ph: (352) 666-2250 | Suncoast Primary Care LLC 7145 Mariner Blvd Spring Hill FL 34609-1048 Ph: (352) 666-2250 |
| NPI Number | 1174691448 |
|---|---|
| Provider Enumeration Date | 12/02/2006 |
| Last Update Date | 05/13/2026 |
| Certification Date | 05/13/2026 |
| Medicare PECOS PAC ID | 7315043965 |
|---|---|
| Medicare Enrollment ID | O20070428000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174691448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME96148 (Florida) | Primary |
| Provider Name | Anitha Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497766653 PECOS PAC ID: 5991705329 Enrollment ID: I20070108000393 |
| Provider Name | Carolyn Zaniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598353849 PECOS PAC ID: 1759883929 Enrollment ID: I20250906000375 |
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