Provider Demographics
NPI:1437646528
Name:SUNCOAST RHEUMATOLOGY
Entity Type:Organization
Organization Name:SUNCOAST RHEUMATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RHEUMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LEESA
Authorized Official - Last Name:ZITO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-727-0539
Mailing Address - Street 1:13425 BELCHER RD S
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-4009
Mailing Address - Country:US
Mailing Address - Phone:813-223-9610
Mailing Address - Fax:727-303-3193
Practice Address - Street 1:13425 BELCHER RD S
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771
Practice Address - Country:US
Practice Address - Phone:727-223-9610
Practice Address - Fax:727-303-3193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty