SUNCOAST COMMUNITY HEALTH CENTER INC (NPI# 1417556275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417556275 |
| Entity Type | Organization |
| Organization Name | SUNCOAST COMMUNITY HEALTH CENTER INC |
| Other Organization Name | BRANDON COMMUNITY HEALTH CENTER |
| Practice Address |
313 S Lakewood Dr Brandon FL 33511-2815 |
| Mailing Address |
13110 Elk Mountain Dr Riverview FL 33579-7182 |
| Practice Telephone | 9133497900 |
| Practice Fax Number | 8888537318 |
| Mailing Telephone | 8133497588 |
| Mailing Fax Number | 8133497596 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | ROBERT RODRIGUEZ (CFO) |
| Authorized Official Telephone | 8133497563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029557428 | 05 |
| Other Name | Type Code |
|---|---|
| Brandon Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376553883 | Suncoast Community Health Center Inc | Pharmacy | 14254 Sr 574 Bvld, Dover, FL 33527 | 2006-08-08 |
| Street Address |
313 S LAKEWOOD DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265548200 | Luz M Torres | Pediatrics | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2006-08-22 |
| 1518587518 | Stephen Kyle Hartzog | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-04-20 |
| 1033745344 | Katie Hye Eun Park | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-03-18 |
| 1083248926 | Kristeen Chu | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-03-01 |
| 1699309856 | Marc Levicoff | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-02-26 |
| 1457984668 | Katherine Elizabeth Gouveia | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-02-16 |
| 1730710294 | Christopher J Perez | Pharmacist | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-02-03 |
| 1598227035 | Cristina Carmen Alvarez Armbruster Jacas | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2019-04-03 |
| 1851853659 | Nila V Patel | Pharmacist | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2019-04-02 |
| 1609332337 | Leslie Raffety Pence | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2019-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780241729 | Southeast Reginald Solutions,pllc | General Practice | 310 River Forest Ln, Brandon, MS 39047-7020 | 2019-05-24 |
| 1700397239 | Marysol Camejo Romero | General Practice | 728 Benwick Dr, Brandon, MS 39047-8111 | 2017-10-24 |
| 1609284330 | Telehealthone, LLC | General Practice | 1037 Lake Village Cir, Suite A, Brandon, MS 39047-6725 | 2014-07-25 |
| 1700149143 | Orlando Enrique Mieles | General Practice | 500 Vonderburg Dr Ste 305, Brandon, FL 33511-5976 | 2012-06-20 |
| 1871850412 | Zulayne Vera | General Practice | 813 S Parsons Ave, Brandon, FL 33511-6063 | 2012-04-20 |
| 1205025277 | Valrico Medical Care, P.a. | General Practice | 143 N Oakwood Ave, Brandon, FL 33510-4629 | 2007-10-16 |
| 1871535393 | Aida Cuascut-reyes | General Practice | 653 W Lumsden Rd, Brandon, FL 33511-5911 | 2006-06-11 |
| 1417906611 | Dwic of Tampa Bay, Inc. | General Practice | 408 E Brandon Blvd, Brandon, FL 33511-5318 | 2006-05-08 |
| 1609853225 | Jorge L Acevedo Vazquez | General Practice | 501 Eichenfeld Dr, Ste 101, Brandon, FL 33511-5994 | 2005-12-23 |
| 1255325361 | Miguel Angel Mazariegos | General Practice | 205 S Moon Ave, Suite 105, Brandon, FL 33511-5716 | 2005-09-02 |
| Find all providers in BRANDON | ||||
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| 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.