Active NPI
Suncoast Medical Associates PA
- Internal Medicine Physician
- Deltona, FL
National Provider Identifier
1952429326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SUNCOAST MEDICAL ASSOCIATES PA
- Practice address
- 601 Deltona Blvd
Suite #101
Deltona, FL 32725-8017 - Phone
- (386) 574-6079
- NPI assigned
- Mar 26, 2007
- 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
- Mrs. Eva R Zavala, RN
- Title
- Office Manager
- Phone
- (386) 574-6079
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
601 Deltona Blvd
Suite #101
Deltona, FL 32725-8017
Mailing address
601 Deltona Blvd
Suite #101
Deltona, FL 32725-8017
Phone (386) 574-6079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K3363 | Other | FL | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
777 Deltona Blvd
Ste 1
Deltona, FL 32725
Phone (386) 574-6079
601 Deltona Blvd
Ste 101
Deltona, FL 32725
Phone (386) 574-6079
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Deltona, FL
- NPI 1124482849
-
- Internal Medicine Physician
- Deltona, FL
- NPI 1104802982
-
- Family Medicine Physician
- Pembroke Pines, FL
- NPI 1043627284
-
- Internal Medicine Physician
- Delray Beach, FL
- NPI 1063575231
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1770550170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1952429326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 DELTONA BLVD",
"address_2": "SUITE #101",
"city": "DELTONA",
"state": "FL",
"postal_code": "327258017",
"telephone_number": "386-574-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 DELTONA BLVD",
"address_2": "SUITE #101",
"city": "DELTONA",
"state": "FL",
"postal_code": "327258017",
"telephone_number": "386-574-6079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNCOAST MEDICAL ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "ZAVALA",
"authorized_official_first_name": "EVA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "386-574-6079",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "K3363",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.