Suncoast Medical Clinic LLC
Organization Active NPI Clinical Medical Laboratory · St Petersburg, FL
NPI 1649397662 · NPPES record last updated Mar 27, 2008
Key facts
- NPI
- 1649397662
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- SUNCOAST MEDICAL CLINIC LLC
- Practice address
- 601 7TH St S
St Petersburg, FL 33701-4704 - Phone
- (727) 824-8357
- Fax
- (727) 824-3132
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Steven Cohen, MD
- Title
- Physician
- Phone
- (727) 894-1818
Practitioners 64
-
Jagan S. Akella, MD
-
Jose A. Aleman-Gomez, M.D.
-
Daniel B. Bell, M.D.
-
John Bertozzi, M.D.
-
Kenneth R. Bryant, M.D.
-
William D. Bullington, M.D.
-
Charmaine A. Carter, M.D.
-
Colin Chan, M.D.
-
Lorraine M Childs, ARNP
-
Whitney L. Clowney, PA-C
-
Roger Covey, PT
-
Maritza Tovar Day, M.D.
-
Eric K. Diner, M.D.
-
Edward M Fabelo, MD
-
Karen L. Fehr, ARNP
-
Susan M Fraser, MD
-
Kevin F Garner, MD
-
Adam Miles Garrott, M.D.
-
Glen R. Goldfarb, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2028393 | Ohi West Medical Group LLC | Certificate of waiver | Aug 15, 2027 |
| 10D2278933 | Ohi West Medical Group LLC | Certificate of waiver | Mar 26, 2027 |
| 10D2294456 | Ohi West Medical Group LLC | Certificate of waiver | Nov 26, 2027 |
| 10D2305820 | Ohi West Medical Group LLC | Provider-performed microscopy | Jun 11, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | FL | Yes |
Addresses
Primary practice location
601 7TH St S
St Petersburg, FL 33701-4704
Mailing address
601 7TH St S
St Petersburg, FL 33701-4704
Phone (727) 824-8357
Other providers in St Petersburg, FL
- Suncoast Manor Retirement Community, Inc.
- Suncoast Medical Clinic LLC
- Suncoast Medical Clinic LLC
- Suncoast Medical Clinic LLC
- Suncoast Medical Clinic LLC
- Suncoast Medical Clinic LLC
- Suncoast Medical Clinic LLC
- Suncoast Medical Clinic, LLC
- Suncoast Medical Equipment LLC
- Suncoast Medicare Supply Co. Inc.
All providers in St Petersburg, FL · Clinical Medical Laboratory in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.