Provider Demographics
NPI:1205902707
Name:SUN COAST HEALTHCARE INC
Entity type:Organization
Organization Name:SUN COAST HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-586-7192
Mailing Address - Street 1:13787 S BELCHER RD SUITE 200
Mailing Address - Street 2:SCH OCCUPATIONAL HEALTH SERVICE
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771
Mailing Address - Country:US
Mailing Address - Phone:727-533-0660
Mailing Address - Fax:727-533-0339
Practice Address - Street 1:13787 S BELCHER RD SUITE 200
Practice Address - Street 2:SCH OCCUPATIONAL HEALTH SERVICE
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771
Practice Address - Country:US
Practice Address - Phone:727-533-0660
Practice Address - Fax:727-533-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0524712083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty