Provider Demographics
NPI:1043549033
Name:SUNCOAST MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:SUNCOAST MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAMARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYSONET
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:787-270-4500
Mailing Address - Street 1:HC 3 BOX 7008
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-9532
Mailing Address - Country:US
Mailing Address - Phone:787-270-4500
Mailing Address - Fax:787-270-4500
Practice Address - Street 1:BO. ESPINOSA CARR. 2 KM 26.2
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-9532
Practice Address - Country:US
Practice Address - Phone:787-270-4500
Practice Address - Fax:787-270-4500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies