Suncoast Medical Centers of SW FL LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME109802 Issued in FL

Legal business name

SUNCOAST MEDICAL CENTERS OF SW FL LLC

Practice address

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

Phone

(347) 852-5705

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Baldir A Lopez Acosta, MD

Title

MBR

Phone

(347) 852-5705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1316347263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD",
            "address_2": "STE 4",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "347-852-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD",
            "address_2": "STE 4",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "347-852-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MEDICAL CENTERS OF SW FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ ACOSTA",
        "authorized_official_first_name": "BALDIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "347-852-5705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayneris Suarez Perez, RBT-25-424967
• Daniela Suarez
• Daylenis Suarez
• Kateryn Suarez
• Ana Stephanie Suazo Reyes
• Suncoast Medical Group LLC
• Sunrise Gardens Alf Inc
• Sunshine Chiro Center
• Sunshine Excellent Care LLC
• Sunshine Meadows of Florida, LLC

• Internal Medicine Physician in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.