Provider Demographics
NPI:1780890053
Name:SUNCOAST URGENT CARE CENTERS LLC
Entity type:Organization
Organization Name:SUNCOAST URGENT CARE CENTERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PARRISH
Authorized Official - Last Name:OPYOKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-372-3888
Mailing Address - Street 1:10730 STATE ROAD 54
Mailing Address - Street 2:SUITE 104-106
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-2217
Mailing Address - Country:US
Mailing Address - Phone:727-372-3888
Mailing Address - Fax:
Practice Address - Street 1:10730 STATE ROAD 54
Practice Address - Street 2:SUITE 104-106
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-2217
Practice Address - Country:US
Practice Address - Phone:727-372-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6087650001Medicare NSC