SUN CITY CENTER HEALTH AND WELLNESS LLC NPI 1871992545

NPI Information

NPI: 1871992545
Provider Name: SUN CITY CENTER HEALTH AND WELLNESS LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3040 E COLLEGE AVE
RUSKIN, FL
ZIP 33570
Phone: (813) 331-3940
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SUN CITY CENTER HEALTH AND WELLNESS LLC is a general practice in Ruskin, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SUN CITY CENTER HEALTH AND WELLNESS LLC NPI is 1871992545. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3040 E COLLEGE AVE
RUSKIN, FL
ZIP 33570-220
Phone: (813) 331-3940
Fax: (813) 331-3941

The provider's authorized official is Eldridge Mccormick .
The authorized official title is Medical Director and has the following contact phone number (813) 331-3940.

The enumeration date for this NPI number is 8/19/2014 and was last updated on 8/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D58221	MEDICARE UPIN	FLORIDA
2	71877	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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