Provider Demographics
NPI:1386681161
Name:SUNCOAST SPECIALTY SURGERY CENTER, LLLP
Entity Type:Organization
Organization Name:SUNCOAST SPECIALTY SURGERY CENTER, LLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ROWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-847-0889
Mailing Address - Street 1:4519 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4941
Mailing Address - Country:US
Mailing Address - Phone:727-847-0889
Mailing Address - Fax:727-846-8458
Practice Address - Street 1:4519 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4941
Practice Address - Country:US
Practice Address - Phone:727-847-0889
Practice Address - Fax:727-846-8458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPENDING261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical