A Suncoast Life, Inc.

LBN: A Suncoast Life, Inc.
A Suncoast Life, Inc. is an health care organization with primary practice located at 1100 E Bay Dr # G-78 , Largo FL 33770-2541. The organization recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as the primary health care specialty. A Suncoast Life, Inc. can be contacted via phone (239) 888-3111, or through Fourthman, Johnathan Eric via phone (239) 888-3111.

Contact Information

Primary practice address
1100 E Bay Dr # G-78 Largo FL 33770-2541
Phone: (239) 888-3111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fourthman, Johnathan Eric
Phone: (239) 888-3111

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1306436159
LBN Legal business name A Suncoast Life, Inc.
DBA Doing business as
Authorized official Fourthman, Johnathan Eric
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2021
Last updated Jan 25th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306436159 NPPES
Florida MEDICAID 1689090979

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