SUNCOAST COMMUNITY HEALTH CENTERS, INC (NPI# 1689007080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689007080 |
| Entity Type | Organization |
| Organization Name | SUNCOAST COMMUNITY HEALTH CENTERS, INC |
| Other Organization Name | BRANDON COMMUNITY HEALTH CENTER |
| Practice Address |
125 N Moon Ave Ste A Brandon FL 33510-4431 |
| Practice Telephone | 8136436690 |
| Mailing Telephone | 8136436690 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |
| Authorized Official Name | ROBERT R ROSDRIGUEZ (CFO) |
| Authorized Official Telephone | 8133497563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1073057964 | Suncoast Community Health Centers, Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2016-12-12 |
| 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 |
125 N MOON AVE STE A |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346891751 | Careatc | Clinic/Center | 413 W Robertson St Ste A, Brandon, FL 33511-5014 | 2019-09-26 |
| 1407248792 | De Brigard Pediatrics, P.a | Clinic/Center | 711 N Parsons Ave, Brandon, FL 33510-3406 | 2015-02-24 |
| 1528459526 | Russell L. Carlisle, D.o. | Clinic/Center | 333 Willow Ridge Cv, Brandon, MS 39047-8089 | 2015-02-11 |
| 1447514716 | Anita Patel Md Pa | Clinic/Center | 3427 Brook Crossing Dr, Brandon, FL 33511-8181 | 2012-07-01 |
| 1558639625 | Family Medical Express Center, Inc. | Clinic/Center | 122 S Moon Ave, Brandon, FL 33511-5110 | 2011-12-05 |
| 1104943604 | Langford Family Health, Inc | Clinic/Center | 100 Vine Drive, Brandon, MS 39047-5962 | 2007-03-22 |
| 1811923311 | Karen Baldwin Md Pa | Clinic/Center | 320 Oakfield Dr, Suite E, Brandon, FL 33511-5723 | 2006-06-25 |
| 1417556275 | Suncoast Community Health Center Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-10-22 |
| 1578015152 | Careatc-city of Tampa Brandon | Clinic/Center | 413 W Robertson St, Suite A, Brandon, FL 33511-5014 | 2016-10-28 |
| 1053795815 | Diaz Medical Center, Inc. | Clinic/Center | 303 Bryan Rd, Suite 1, Brandon, FL 33511-5342 | 2015-07-11 |
| 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.