SUNCOAST COMMUNITY HEALTH CENTERS INC (NPI# 1144230640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144230640 |
| Entity Type | Organization |
| Organization Name | SUNCOAST COMMUNITY HEALTH CENTERS INC |
| Other Organization Name | TOM LEE COMMUNITY HEALTH CENTER |
| Practice Address |
14254 Martin Luther King Blvd Dover FL 33527-4414 |
| Practice Telephone | 8133497700 |
| Practice Fax Number | 8133497761 |
| Mailing Telephone | 8133497700 |
| Mailing Fax Number | 8133497761 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-03-23 |
| Authorized Official Name | ROBERT RODRIGUEZ (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8133497563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029523001 | 05 |
| Other Name | Type Code |
|---|---|
| Tom Lee Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104836600 | Suncoast Community Health Centers Inc | Clinic/Center | 2814 14th Avenue Se, Ruskin, FL 33570 | 2006-08-08 |
| 1326410952 | Suncoast Community Health Centers Inc | Pharmacy | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2015-10-22 |
| 1043636566 | Suncoast Community Health Centers Inc | Pharmacy | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2014-03-07 |
| 1912273285 | Suncoast Community Health Centers Inc | Pharmacy | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2012-03-30 |
| 1427339175 | Suncoast Community Health Centers Inc | Clinic/Center | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2011-09-07 |
| 1770596058 | Suncoast Community Health Centers Inc | Pharmacy | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2006-08-15 |
| 1053321554 | Suncoast Community Health Centers Inc | Clinic/Center | 502 N Mobley St, Suite 1, Plant City, FL 33563-2904 | 2006-08-08 |
| 1578573085 | Suncoast Community Health Centers Inc | Clinic/Center | 801 E Baker St, Plant City, FL 33563-3652 | 2006-08-08 |
| 1285644799 | Suncoast Community Health Centers Inc | Clinic/Center | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2006-08-08 |
| Street Address |
14254 MARTIN LUTHER KING BLVD |
| City | DOVER |
| State | FL |
| Zip Code | 33527-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811947864 | Sylvia M. Santiago | Family Medicine | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2006-05-11 |
| 1558604116 | Adrienne Mee-ling Watson | Clinical Nurse Specialist | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2013-04-02 |
| 1518208016 | Joy Dziopala | Nurse Practitioner | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2013-03-07 |
| 1073868790 | Suncoast Community Health Centers, Inc | Clinic/Center | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2012-07-18 |
| 1346561669 | Saroja Medidi | Family Medicine | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2010-06-21 |
| 1699894758 | Esperanza Maria Quezada | Nurse Practitioner | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2007-03-28 |
| 1427109453 | Carol Nelson Handley | Nurse Practitioner | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2007-01-16 |
| 1992817498 | Brian Michael Shaub | Family Medicine | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2006-08-31 |
| 1205859592 | Evelyn Cimafrance Maningo | Internal Medicine | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308052 | Learn 2 Speak LLC | Speech-Language Pathologist | 1505 Ringmore Ct, Dover, FL 33527 | 2020-08-27 |
| 1336570555 | Sarah Jane Connatser | Custodial Care Facility | 14576 Blackjack Rd, Dover, FL 33527 | 2013-12-13 |
| 1417207838 | Rudolf Bigord | Case Manager/Care Coordinator | 1712 Abbey Trace Drive, Tampa, FL 33527 | 2012-09-13 |
| 1689944381 | Walgreens | Health Maintenance Organization | 13213 Shady Stables Lane, Dover, FL 33527 | 2012-01-11 |
| 1376553883 | Suncoast Community Health Center Inc | Pharmacy | 14254 Sr 574 Bvld, Dover, FL 33527 | 2006-08-08 |
| 1144657834 | Barefoot Birth | Midwife | 1319 Sydney Washer Rd, Dover, FL 33527 | 2013-09-26 |
| 1023187424 | Edward Craig Reller | Internal Medicine | 14254 State Road 574, Dover, FL 33527 | 2006-11-07 |
| 1194156489 | Rafael Avecillas | Assisted Living Facility | 2644 Fritzke Rd, Dover, FL 33527-3433 | 2013-12-11 |
| 1669871711 | Christina Trang Nguyen | Pharmacist | 9550 Gallagher Rd, Dover, FL 33527-3604 | 2014-08-14 |
| 1043615693 | Donald Edward Smith | Pharmacist | 9550 Gallagher Rd, Dover, FL 33527-3604 | 2014-10-24 |
| Find all providers in zip 33527 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1437604022 | Zufall Health Dental Van | Clinic/Center | 17 S Warren St, Dover, NJ 07801-4506 | 2016-08-24 |
| 1487035986 | Community Mental Healthcare, Inc. | Clinic/Center | 201 Hospital Dr, Dover, OH 44622-2058 | 2015-06-11 |
| 1851797492 | Community Mental Healthcare, Inc. | Clinic/Center | 201 Hospital Dr, Dover, OH 44622-2058 | 2014-11-10 |
| 1548515091 | Zufall Health Center, Inc | Clinic/Center | 18 W Blackwell St, Dover, NJ 07801-3841 | 2012-07-20 |
| 1073868790 | Suncoast Community Health Centers, Inc | Clinic/Center | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2012-07-18 |
| 1790004786 | La Red Health Center, Inc. | Clinic/Center | 1057 S Bradford St, Dover, DE 19904-4141 | 2010-05-31 |
| 1750618260 | Zufall Health Center, Inc | Clinic/Center | 17 S Warren St, Dover, NJ 07801-4506 | 2009-11-05 |
| 1225163199 | Delmarva Rural Ministries, Inc. | Clinic/Center | 26 Wyoming Ave, Dover, DE 19904-6922 | 2007-02-22 |
| Find all providers in DOVER | ||||
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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.