Suncoast U R L L C

NPI #1033383500 in Lutz, Florida

Provider Information

NPI Number: 1033383500
Entity Type: Organization
Organization Name: Suncoast U R L L C
Primary Specialty: Specialist
Enumeration Date: Apr 16, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 18958 DALE MABRY HWY N STE 102
City: Lutz
State: Florida
ZIP Code: 33548-4911
Phone: (813) 839-7390

Authorized Official

Name: DR. ARLENE MARTINEZ-DELIO, M.D.
Title: CEO
Phone: (813) 839-7390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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