Organization Active NPI

Suncoast Palliative Care and Wound Healing, Inc

  • Multi-Specialty Clinic/Center
  • Zephyrhills, FL
National Provider Identifier
1417650714
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SUNCOAST PALLIATIVE CARE AND WOUND HEALING, INC
Practice address
6719 Gall Blvd Ste 203
Zephyrhills, FL 33542-2569
Phone
(813) 957-8730
Fax
(813) 212-2824
NPI assigned
Mar 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Sara Larson Hussain
Title
Owner Administrator
Phone
(813) 957-8730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6719 Gall Blvd Ste 203
Zephyrhills, FL 33542-2569

Mailing address

10335 Cross Creek Blvd # H20
Tampa, FL 33647-2795
Phone (813) 957-8730

National Provider Directory

National Provider Directory

Locations

10335 Cross Creek Blvd
#H20
Tampa, FL 33647
Phone (813) 388-6838

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1417650714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 CROSS CREEK BLVD # H20",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472795",
            "telephone_number": "813-957-8730",
            "fax_number": "813-212-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GALL BLVD STE 203",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422569",
            "telephone_number": "813-957-8730",
            "fax_number": "813-212-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST PALLIATIVE CARE AND WOUND HEALING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "LARSON HUSSAIN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "813-957-8730"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.