BRANDON COMMUNITY HEALTH CENTER
NPI 1073057964
Clinic/Center - Dental in Brandon, FL

Active since December 12, 2016CLIA 10D0997119 · Waiver
313 S LAKEWOOD DR, BRANDON, FL 33511(813) 349-7900(813) 938-6426 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON COMMUNITY HEALTH CENTER (NPI 1073057964) is a healthcare organization registered as a dental in Brandon, Florida and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Robert R Rodriguez, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073057964
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSUNCOAST COMMUNITY HEALTH CENTERS, INC
Location Address313 S LAKEWOOD DRBrandon, FL 33511-2815
Mailing Address13110 Elk Mountain DrRiverview, FL 33579-7182 · (813) 349-7588 · Fax (813) 349-7596
Fax(813) 938-6426
Organization SubpartNo
Authorized OfficialRobert R RodriguezCfo · (813) 349-7563
Enumeration DateDecember 12, 2016
NPI 1073057964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
313 S LAKEWOOD DR, Brandon, FL 33511

Other Names 1

Doing Business AsBrandon Community Health Center

Other Identifiers 2

Medicaid029557409FL
Medicare OSCAR/certification101169FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0997119

Suncoast Community Health Centers Inc Brandon Community Health Center · Brandon, FL
Active · expires Sep 19, 2027
CLIA Number10D0997119
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorBrian Shaub
Laboratory Phone(813) 349-7900
Laboratory LocationSuncoast Community Health Centers Inc Brandon Community Health Center313 S Lakewood Dr, Brandon, FL 33511
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
313 S LAKEWOOD DR
BRANDON, FL 33511
Nurse Practitioner (Family)
313 S LAKEWOOD DR
BRANDON, FL 33511
Student in an Organized Health Care Education/Training Program
313 S LAKEWOOD DR
BRANDON, FL 33511
Physician Assistant (Medical)
313 S LAKEWOOD DR
BRANDON, FL 33511
Dentist (Pediatric Dentistry)
313 S LAKEWOOD DR
BRANDON, FL 33511
Pediatrics
313 S LAKEWOOD DR
BRANDON, FL 33511
Internal Medicine
313 S LAKEWOOD DR
BRANDON, FL 33511
Optometrist
313 S LAKEWOOD DR
BRANDON, FL 33511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suncoast Community Health Centers, Inc's NPI number?

The NPI number for Suncoast Community Health Centers, Inc is 1073057964. It was assigned to this organization in the NPPES registry on December 12, 2016. The provider is doing business as Brandon Community Health Center.

Where is Suncoast Community Health Centers, Inc located?

Suncoast Community Health Centers, Inc is located at 313 S Lakewood Dr, Brandon, FL 33511. The listed phone number is (813) 349-7900.

What is Suncoast Community Health Centers, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Suncoast Community Health Centers, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0997119) is associated with this NPI, valid through September 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Suncoast Community Health Centers, Inc was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.