SUNCOAST MEDICAL CLINIC LLC (NPI# 1306028428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306028428 |
| Entity Type | Organization |
| Organization Name | SUNCOAST MEDICAL CLINIC LLC |
| Practice Address |
601 7th St S St Petersburg FL 33701-4704 |
| Practice Telephone | 7278248357 |
| Practice Fax Number | 7278243132 |
| Mailing Telephone | 7278248357 |
| Mailing Fax Number | 7278243132 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | DR. GEORGE L. ETTEL (VICE PRESIDENT) |
| Authorized Official Telephone | 7278248357 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205061140 | Suncoast Medical Clinic LLC | Clinic/Center | 601 7th St S, St Petersburg, FL 33701-4704 | 2009-05-21 |
| 1265671812 | Suncoast Medical Clinic LLC | Clinic/Center | 601 7th St S, St Petersburg, FL 33701-4704 | 2009-02-05 |
| 1760664882 | Suncoast Medical Clinic LLC | Durable Medical Equipment & Medical Supplies | 1099 5th Ave N, Ste 130, St Petersburg, FL 33705-1469 | 2007-11-30 |
| 1821115841 | Suncoast Medical Clinic LLC | Clinic/Center | 601 7th St S, St Petersburg, FL 33701-4704 | 2007-03-23 |
| 1649397662 | Suncoast Medical Clinic LLC | Clinical Medical Laboratory | 601 7th St S, St Petersburg, FL 33701-4704 | 2007-03-23 |
| 1497866537 | Suncoast Medical Clinic LLC | Clinic/Center | 601 7th St S, St Petersburg, FL 33701-4704 | 2006-08-31 |
| Street Address |
601 7TH ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275791 | Alexandria S. Kongsiri | Dermatology | 601 7th St S, St Petersburg, FL 33701-4704 | 2005-09-15 |
| 1306113493 | Vonda Jackson Colquitt | Pharmacist | 601 7th St S, St Petersburg, FL 33701-4704 | 2011-11-17 |
| 1811278591 | Aquilla Walker | Pharmacist | 601 7th St S, St Petersburg, FL 33701-4704 | 2011-09-08 |
| 1467740738 | Optical Shop Inc | Eyewear Supplier (Equipment, not the service) | 601 7th St S, St Petersburg, FL 33701-4704 | 2011-07-20 |
| 1346549292 | Sc Physicians LLC | Clinic/Center | 601 7th St S, St Petersburg, FL 33701-4704 | 2011-03-17 |
| 1780983700 | Sc Physicians LLC | Radiology | 601 7th St S, St Petersburg, FL 33701-4704 | 2011-03-16 |
| 1205061140 | Suncoast Medical Clinic LLC | Clinic/Center | 601 7th St S, St Petersburg, FL 33701-4704 | 2009-05-21 |
| 1265671812 | Suncoast Medical Clinic LLC | Clinic/Center | 601 7th St S, St Petersburg, FL 33701-4704 | 2009-02-05 |
| 1144491846 | Nicole Bernadette See | Nurse Practitioner | 601 7th St S, St Petersburg, FL 33701-4704 | 2008-03-20 |
| 1508060088 | Maritza Tovar Day | Family Medicine | 601 7th St S, St Petersburg, FL 33701-4704 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113510 | Got Smile, Inc | Durable Medical Equipment & Medical Supplies | 180 4th Ave Ne, St Petersburg, FL 33701-3445 | 2020-10-26 |
| 1609419795 | Milford Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 360 Central Ave Ste 848, St Petersburg, FL 33701-3857 | 2019-10-22 |
| 1376010165 | Cheryl Lynn Bush | Durable Medical Equipment & Medical Supplies | 5817 17th Ave N, St Petersburg, FL 33710-5633 | 2018-10-30 |
| 1831692565 | Full Circle Medical, LLC | Durable Medical Equipment & Medical Supplies | 10460 Roosevelt Blvd N Ste 275, St Petersburg, FL 33716-3821 | 2018-03-08 |
| 1689109886 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 620 10th St N Ste 101, St Petersburg, FL 33705-1407 | 2017-04-25 |
| 1407305212 | Accord Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 3698 54th Ave N, St Petersburg, FL 33714-2347 | 2016-09-22 |
| 1861888398 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 625 6th Ave S Unit 130, St Petersburg, FL 33701-4662 | 2015-04-10 |
| 1639591316 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 7491 4th St N, St Petersburg, FL 33702-5407 | 2014-01-14 |
| 1770905465 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 2139 34th St N, St Petersburg, FL 33713-3609 | 2014-01-14 |
| 1164770145 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 1725 34th St N, St Petersburg, FL 33713-3601 | 2012-08-22 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on SUNCOAST MEDICAL CLINIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.