Active NPI
Suncoast Integrative Healthcare LLC
- General Practice Physician
- St Petersburg, FL
National Provider Identifier
1619528932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SUNCOAST INTEGRATIVE HEALTHCARE LLC
- Practice address
- 6514 Central Ave
Saint Petersburg, FL 33707-1330 - Phone
- (727) 519-3757
- NPI assigned
- Sep 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colby Staubs
- Title
- President
- Phone
- (727) 519-3757
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
6514 Central Ave
Saint Petersburg, FL 33707-1330
Mailing address
6514 Central Ave
Saint Petersburg, FL 33707-1330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- St Petersburg, FL
- NPI 1578880357
-
- Adult Health Nurse Practitioner
- St Petersburg, FL
- NPI 1265792824
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1457640039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584489600000",
"number": "1619528932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6514 CENTRAL AVE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337071330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6514 CENTRAL AVE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337071330",
"telephone_number": "727-519-3757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNCOAST INTEGRATIVE HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-27",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A",
"authorized_official_last_name": "STAUBS",
"authorized_official_first_name": "COLBY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-519-3757"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Suncoast Center Inc
- Suncoast Center Inc
- Suncoast Center Inc
- Suncoast Center, Inc
- Suncoast Center, Inc.
- Suncoast Manor Retirement Community Inc (Westminster Suncoast)
- Suncoast Manor Retirement Community, Inc. (Westminster Suncoast)
- Suncoast Medical Clinic LLC
- Suncoast Medical Clinic LLC
- Suncoast Medical Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.