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1205460995
SUNCOAST MEDICAL GROUP LLC
LEHIGH ACRES, FL
NPI
1205460995
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Entity Type
Organization
Authorized Contact
YAJAIDA ARISTHYL
Mgr
239-687-0194
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
SUNCOAST MEDICAL GROUP LLC
1154 LEE BLVD STE 4
LEHIGH ACRES, FL 33936-4852
Phone number: 239-368-5757
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Mailing Address
SUNCOAST MEDICAL GROUP LLC
3208 NW 1ST AVE
CAPE CORAL, FL 33993-6776
Phone number: 239-687-0194
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