Tom Lee Community Health Center

LBN: Suncoast Community Health Center Inc
Tom Lee Community Health Center is an health care organization with primary practice located at 14254 Sr 574 Bvld , Dover FL 33527. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Suncoast Community Health Center Inc can be contacted via phone (813) 349-7749, or through Hunt, Jeff via phone (813) 349-7859.

Contact Information

Primary practice address
14254 Sr 574 Bvld Dover FL 33527
Fax: (813) 349-7769
Website:
Authorized official contact:
Name: Hunt, Jeff PHARMACIST

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PH12911 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1376553883
LBN Legal business name Suncoast Community Health Center Inc
DBA Doing business as Tom Lee Community Health Center
Authorized official Hunt, Jeff PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Mar 30th, 2015 - about 9 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 1376553883 NPPES
Other 2012640 PK
MEDICAID 106432100 PK

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