Suncoast Medical Group LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SUNCOAST MEDICAL GROUP LLC

Practice address

221 N Broad St Ste 3a
Middletown, DE 19709-1070

Phone

(321) 253-5197

Fax

(321) 253-5199

NPI assigned

Oct 13, 2022

Last updated

Oct 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hutch Effman

Title

Owner

Phone

(321) 253-5197

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Felipe Emilio Dominguez

  • Clinical Medical Laboratory
  • Melbourne, FL
  • NPI 1255451712
  NPD

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1184340937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N BROAD ST STE 3A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091070",
            "telephone_number": "321-253-5197",
            "fax_number": "321-253-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N BROAD ST STE 3A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091070",
            "telephone_number": "321-253-5197",
            "fax_number": "321-253-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "EFFMAN",
        "authorized_official_first_name": "HUTCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-253-5197"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard W Stroup, PA-C
• Jennifer Sturgis
• Vidyarani Subbaraya, M.D.
• Caitlyn Suchanic, FNP
• Summit Dental P.a.
• Sunwise Dermatology & Surgery LLC
• Superior Medical Transportation Inc
• Supportive Healing Counseling Services, LLC
• Desiree Aline Surguy, FNP-C
• Agnes Khalid Adel Sweileh, RPH

• Multi-Specialty Clinic/Center in Middletown, DE
• Providers in Middletown, DE by specialty
• Multi-Specialty Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.