| NPI | 1427550904 |
|---|---|
| Doing Business As | SUNCOAST MOBILE DENTAL BUS II |
| Entity Type | Organization |
| Authorized Contact | ROBERT RODRIGUEZ CFO 813-349-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |