Provider Demographics
NPI:1417490822
Name:SUNCOAST CHEST PHYSICIANS LLC
Entity Type:Organization
Organization Name:SUNCOAST CHEST PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANDARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-441-4526
Mailing Address - Street 1:1345 W BAY DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2282
Mailing Address - Country:US
Mailing Address - Phone:727-441-4526
Mailing Address - Fax:
Practice Address - Street 1:1399 HAMLET AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3331
Practice Address - Country:US
Practice Address - Phone:727-441-4526
Practice Address - Fax:727-266-4590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-02
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME51360207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG52284Medicare UPIN
FLE49851Medicare UPIN