Provider Demographics
NPI:1255197422
Name:TREASURE COAST MATERNITY CENTER INC.
Entity type:Organization
Organization Name:TREASURE COAST MATERNITY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUFFICH
Authorized Official - Suffix:
Authorized Official - Credentials:CHES
Authorized Official - Phone:772-463-2888
Mailing Address - Street 1:735 S COLORADO AVE # 110
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3031
Mailing Address - Country:US
Mailing Address - Phone:772-463-2888
Mailing Address - Fax:
Practice Address - Street 1:2484 SE BONITA ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-5004
Practice Address - Country:US
Practice Address - Phone:772-463-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty