Suncoast Medical Clinic Llc

LBN: Suncoast Medical Clinic Llc
Suncoast Medical Clinic Llc is an health care organization with primary practice located at 601 7Th St S , St Petersburg FL 33701-4704. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Suncoast Medical Clinic Llc can be contacted via phone (727) 894-1818, or through Ettel, George L via phone (727) 894-1818.

Contact Information

Primary practice address
601 7Th St S St Petersburg FL 33701-4704
Phone: (727) 894-1818
Fax: (727) 824-3132
Website:
Map and Directions
Authorized official contact:
Name: Ettel, George L Doctor of Medicine (MD)
Phone: (727) 894-1818

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1205061140
LBN Legal business name Suncoast Medical Clinic Llc
DBA Doing business as
Authorized official Ettel, George L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 21st, 2009
Last updated May 21st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205061140 NPPES
Florida Other Y901Q BCBS

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