Sun Coast Pediatric Care Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME73643 Issued in FL

Legal business name

SUN COAST PEDIATRIC CARE INC

Practice address

11373 Cortez Blvd
Suite 308
Brooksville, FL 34613-5414

Phone

(352) 592-2003

Fax

(352) 592-0433

NPI assigned

Feb 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rizwan Qureshi, M.D.NPI 1659394989

Title

President

Phone

(352) 592-2003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rizwan A Qureshi, M.D.

  • Pediatric Adolescent Medicine Physician
  • Brooksville, FL
  • NPI 1659394989
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053454488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 308",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-592-2003",
            "fax_number": "352-592-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 308",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-592-2003",
            "fax_number": "352-592-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN COAST PEDIATRIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-592-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME73643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "42558",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel James Stringer
• Raquel V Suarez Ruiz, MD
• Bikash Subedi, MBBS
• Joseph C Sullivan III, M.D.
• James Summerlin, ARNP
• Suncoast Obstetrics & Gynecology, PA
• Suncoast Surgical Assisting of FL, Inc.
• Suncoast Surgical LLC
• Suncoast Vital Care Inc
• Suncoast Vital Care Inc

• Pediatrics Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.