Provider Demographics
NPI:1114109972
Name:SUNCOAST FIRST ASSISTANTS, INC
Entity Type:Organization
Organization Name:SUNCOAST FIRST ASSISTANTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRUELOVE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, ARNP
Authorized Official - Phone:941-400-1287
Mailing Address - Street 1:4746 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3943
Mailing Address - Country:US
Mailing Address - Phone:941-400-1287
Mailing Address - Fax:941-923-4789
Practice Address - Street 1:4746 OLD FARM RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3943
Practice Address - Country:US
Practice Address - Phone:941-400-1287
Practice Address - Fax:941-923-4789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9203742163W00000X
FLARNP9203742363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY116YOtherBLUE CROSS BLUE SHIELD