SUNCOAST MEDICAL CLINIC LLC
NPI 1821115841
Clinic/Center - Ambulatory Surgical in St Petersburg, FL
- Organization
- Clinic/Center
- Ambulatory Surgical
About SUNCOAST MEDICAL CLINIC LLC
This page provides the complete NPI Profile along with additional information for Suncoast Medical Clinic Llc, a provider established in St Petersburg, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1821115841 assigned on March 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 790 (FL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is George L. Ettel Md (Physician)
- NPI
- 1821115841 Verify this NPI
- Provider Name
- SUNCOAST MEDICAL CLINIC LLC
- Entity Type
- Organization
- Location Address
- 601 7TH ST S ST PETERSBURG, FL 33701
- Location Phone
- (727) 824-8357
- Location Fax
- (727) 824-3132
- Mailing Address
- 601 7TH ST S ST PETERSBURG, FL 33701
- Mailing Phone
- (727) 824-8357
- Mailing Fax
- (727) 824-3132
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-23-2007
- Last Update Date
- 05-05-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 790
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 790 | OTHER (01) | FL | STATE LICENSE |
| F1237 | MEDICARE PIN (08) | FL | |
| 079192000 | MEDICAID (05) | FL |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
SAINT PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821115841, enumerated as an "organization" on March 23, 2007.
The provider is located at 601 7TH ST S ST PETERSBURG, FL 33701 and the phone number is (727) 824-8357.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
