Suncoast Medical Group LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUNCOAST MEDICAL GROUP LLC

Practice address

1154 Lee Blvd Ste 4
Lehigh Acres, FL 33936-4852

Phone

(239) 368-5757

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Yajaida Aristhyl, APRN

Title

MGR

Phone

(239) 687-0194

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1205460995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 NW 1ST AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936776",
            "telephone_number": "239-687-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD STE 4",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "239-368-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "ARISTHYL",
        "authorized_official_first_name": "YAJAIDA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "239-687-0194",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Suarez
• Daylenis Suarez
• Kateryn Suarez
• Ana Stephanie Suazo Reyes
• Suncoast Medical Centers of SW FL LLC
• Sunrise Gardens Alf Inc
• Sunshine Chiro Center
• Sunshine Excellent Care LLC
• Sunshine Meadows of Florida, LLC
• Marielys Suri Terry

• Primary Care Clinic/Center in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.