SUNCOAST COMMUNITY HEALTH CENTERS, INC (NPI# 1073057964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073057964 |
Entity Type | Organization |
Organization Name | SUNCOAST COMMUNITY HEALTH CENTERS, INC |
Other Organization Name | BRANDON COMMUNITY HEALTH CENTER |
Practice Address |
313 S Lakewood Dr Brandon FL 33511-2815 |
Mailing Address |
13110 Elk Mountain Dr Riverview FL 33579-7182 |
Practice Telephone | 8133497900 |
Practice Fax Number | 8139386426 |
Mailing Telephone | 8133497588 |
Mailing Fax Number | 8133497596 |
Enumeration Date | 2016-12-12 |
Last Update Date | 2016-12-12 |
Authorized Official Name | ROBERT R RODRIGUEZ (CFO) |
Authorized Official Telephone | 8133497563 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 029557409 | 05 |
Other Name | Type Code |
---|---|
Brandon Community Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609303734 | Suncoast Community Health Centers, Inc | Clinic/Center | 9555 E Fowler Ave, Thonotosassa, FL 33592-2139 | 2017-05-19 |
1669830832 | Suncoast Community Health Centers, Inc | Clinic/Center | 313 South Lakewood Drive, Brandon, FL 33511 | 2016-02-03 |
1689007080 | Suncoast Community Health Centers, Inc | Clinic/Center | 125 N Moon Ave Ste A, Brandon, FL 33510-4431 | 2013-08-21 |
1811275472 | Suncoast Community Health Centers, Inc | Clinic/Center | 205 14th Ave Se, Ruskin, FL 33570-5346 | 2011-08-01 |
1427550904 | Suncoast Community Health Centers, Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2018-03-01 |
1477979748 | Suncoast Community Health Centers, Inc | Clinic/Center | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2014-03-11 |
1518388354 | Suncoast Community Health Centers, Inc | Clinic/Center | 5121 State Road 674, Wimauma, FL 33598-3515 | 2013-12-20 |
1497188890 | Suncoast Community Health Centers, Inc | Clinic/Center | 1729 Lakeland Hills Blvd, Lakeland, FL 33805-3016 | 2013-08-21 |
1811240708 | Suncoast Community Health Centers, Inc | Clinic/Center | 1729 Lakeland Hills Blvd, Lakeland, FL 33805-3016 | 2012-10-17 |
1386993947 | Suncoast Community Health Centers, Inc | Clinic/Center | 710 Oakfield Dr, Suite 105, Brandon, FL 33511-4938 | 2012-08-29 |
Street Address |
313 S LAKEWOOD DR |
City | BRANDON |
State | FL |
Zip Code | 33511-2815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265548200 | Luz M Torres | Pediatrics | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2006-08-22 |
1417556275 | Suncoast Community Health Center Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-10-22 |
1518587518 | Stephen Kyle Hartzog | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-04-20 |
1033745344 | Katie Hye Eun Park | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-03-18 |
1083248926 | Kristeen Chu | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-03-01 |
1699309856 | Marc Levicoff | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-02-26 |
1457984668 | Katherine Elizabeth Gouveia | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-02-16 |
1730710294 | Christopher J Perez | Pharmacist | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-02-03 |
1598227035 | Cristina Carmen Alvarez Armbruster Jacas | Student in an Organized Health Care Education/Training Program | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2019-04-03 |
1851853659 | Nila V Patel | Pharmacist | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2019-04-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
Find all providers in zip 33511 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982242111 | Lumina Dentalof Brandon, Pa | Clinic/Center | 225 Brandon Town Center Dr, Brandon, FL 33511-4728 | 2019-12-18 |
1316458136 | Reservoir Smiles Dentistry, Pllc | Clinic/Center | 1149 Old Fannin Rd Ste 26, Brandon, MS 39047-9244 | 2017-10-19 |
1083099600 | Skylight Dental Care Pllc | Clinic/Center | 117 N. Oakwood Avenue, Brandon, FL 33510 | 2015-07-24 |
1841617305 | Mobile Health Solutions Inc | Clinic/Center | 1700 W Government St Ste 203, Brandon, MS 39042-2423 | 2014-03-23 |
1578122172 | Vladimir A. Avril, Pllc | Clinic/Center | 3413 S Kings Ave Ste 200, Brandon, FL 33511-7780 | 2019-06-07 |
1770064388 | Brandon Family Dentistry | Clinic/Center | 5 Carver St, Brandon, VT 05733-1103 | 2018-08-22 |
1013325265 | Bruce D. Waterman, Dmd,pa | Clinic/Center | 127 Kingsway Rd, Brandon, FL 33510-4601 | 2014-07-31 |
1902220320 | Bruce Waterman Dmd, Sleep Ez,pl | Clinic/Center | 127 Kingsway Rd, Brandon, FL 33510-4601 | 2014-02-05 |
1265779052 | Grants Ferry Family Dentistry | Clinic/Center | 1075 Lake Village Cir, Brandon, MS 39047-6743 | 2013-01-14 |
1164607552 | Family Health Care Clinic, Inc. | Clinic/Center | 1551 W Government St, Brandon, MS 39042 | 2008-01-03 |
Find all providers in BRANDON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.