SUNCOAST MEDICAL CLINIC LLC
NPI 1760664882
Durable Medical Equipment & Medical Supplies in St Petersburg, FL

Active since November 30, 2007
1099 5TH AVE N, STE 130, ST PETERSBURG, FL 33705(727) 824-8357(727) 824-3132 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suncoast Medical Clinic Llc NPPES

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

SUNCOAST MEDICAL CLINIC LLC (NPI 1760664882) is a healthcare organization registered as a durable medical equipment & medical supplies in St Petersburg, Florida and active in the NPI registry since November 2007. The organization lists George L. Ettel, Vice President, as its authorized official.

NPPES Registry Identity

NPI1760664882
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSUNCOAST MEDICAL CLINIC LLC
Location Address1099 5TH AVE N, STE 130St Petersburg, FL 33705-1469
Mailing Address1099 5th Ave N, Suite 130St Petersburg, FL 33705-1469 · (727) 824-8357 · Fax (727) 824-3132
Fax(727) 824-3132
Organization SubpartNo
Authorized OfficialGeorge L. EttelVice President · (727) 824-8357
Enumeration DateNovember 30, 2007
Last NPPES UpdateMay 6, 2008
NPI 1760664882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1099 5TH AVE N, St Petersburg, FL 33705

Other Identifiers 1

Medicare NSC0525480002FL

Other Providers at the Same Location NPPES 5

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

Internal Medicine
1099 5TH AVE N, 150
ST PETERSBURG, FL 33705
Internal Medicine (Medical Oncology)
1099 5TH AVE N, 120
ST PETERSBURG, FL 33705
Durable Medical Equipment & Medical Supplies
1099 5TH AVE N, SUITE 110
ST PETERSBURG, FL 33705
Licensed Practical Nurse
1099 5TH AVE N, SUITE 110
ST PETERSBURG, FL 33705
Clinic/Center (Pain)
1099 5TH AVE N, STE 320
ST PETERSBURG, FL 33705

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 Medical Clinic LLC's NPI number?

The NPI number for Suncoast Medical Clinic LLC is 1760664882. It was assigned to this organization in the NPPES registry on November 30, 2007.

Where is Suncoast Medical Clinic LLC located?

Suncoast Medical Clinic LLC is located at 1099 5th Ave N Ste 130, St Petersburg, FL 33705. The listed phone number is (727) 824-8357.

What is Suncoast Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Suncoast Medical Clinic LLC was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.