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1205061140
SUNCOAST MEDICAL CLINIC LLC
ST PETERSBURG, FL
NPI
1205061140
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Entity Type
Organization
Authorized Contact
GEORGE L ETTEL
President
727-894-1818
Organization Subpart ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2009-05-21
Last Update Date
2009-05-21
Business Address
SUNCOAST MEDICAL CLINIC LLC
601 7TH ST S
ST PETERSBURG, FL 33701-4704
Phone number: 727-894-1818
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Mailing Address
SUNCOAST MEDICAL CLINIC LLC
601 7TH ST S
ST PETERSBURG, FL 33701-4704
Phone number: 727-894-1818
Copy
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