Suncoast Medical Clinic LLC
NPI #1265671812 in St Petersburg, Florida
Provider Information
- NPI Number
- 1265671812
- Entity Type
- Organization
- Organization Name
- Suncoast Medical Clinic LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUNCOAST MEDICAL CLINIC LLC
- Primary Specialty
- Clinic/Center - Lithotripsy
- Enumeration Date
- Feb 5, 2009
- Last Updated
- Feb 5, 2009
Practice Location
- Address
- 601 7TH ST S
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33701-4704
- Phone
- (727) 824-8357
Authorized Official
- Name
- GEROGE L ETTEL, M.D.
- Title
- PRESIDENT
- Phone
- (727) 894-1818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Lithotripsy — Lithotripsy |
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