SC PHYSICIANS LLC


Address: 620 10th Street N, St Petersburg, FL 33705-1407
Phone: 7275321355

SC PHYSICIANS LLC (NPI# 1811295454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811295454
Entity Type Organization
Organization Name SC PHYSICIANS LLC
Practice Address 620 10th Street N
St Petersburg
FL 33705-1407
Mailing Address Po Box 12868
St Petersburg
FL 33733-2868
Practice Telephone 7275321355
Practice Fax Number 7272664928
Mailing Telephone 7275320002
Mailing Fax Number 7272664943
Enumeration Date 2011-03-07
Last Update Date 2018-01-26
Authorized Official Name MS. LYNDA A. GORKEN (VP, PFS)
Authorized Official Telephone 7275321355
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 003689300 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841599842 Sc Physicians LLC Clinic/Center 610 7th St S, St Petersburg, FL 33701 2011-03-17
1841589330 Sc Physicians LLC Clinical Medical Laboratory 620 10th St N, St Petersburg, FL 33705-1407 2011-04-05
1639478589 Sc Physicians LLC Durable Medical Equipment & Medical Supplies 620 10th Street N., St Petersburg, FL 33705-1407 2011-03-17
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
1780982280 Sc Physicians LLC Durable Medical Equipment & Medical Supplies 1099 5th Ave N, Suite 110, St Petersburg, FL 33705-1469 2011-03-08

Office Location

Street Address 620 10TH STREET N
City ST PETERSBURG
State FL
Zip Code 33705-1407

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1568970903 Professional Health Care of Pinellas Inc. Clinic/Center 5500 9th St N, St Petersburg, FL 33703-1204 2018-01-19
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1497866537 Suncoast Medical Clinic LLC Clinic/Center 601 7th St S, St Petersburg, FL 33701-4704 2006-08-31

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Competitor

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City ST PETERSBURG
Zip Code 33705

Improve Information

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Dataset Information

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.

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