SUNCOAST MEDICAL CLINIC LLC
Ambulatory Health at 7 St, Saint Petersburg, FL

License number
Florida 790
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: GEORGE L. ETTEL MD
Title: PHYSICIAN
Phone: (727) 824-8357
Address
Address
601 7Th St S, Saint Petersburg, FL 33701
National Provider ID: 1821115841
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SUNCOAST MEDICAL CLINIC LLC at bizstanding.com

Suncoast Medical Clinic, LLC

Saint Petersburg, FL

Industry:
Medical Doctor's Office
Doing business as:
Physical Therapy Dept<br>Kozlov, Nicholas
Registration:
Feb 2, 2001
Site:
suncoastmedicalclinic.com
Phone:
(727) 824-7146 (Phone), (727) 894-1818 (Phone), (727) 824-7192 (Fax)
Addresses:
500 Dr Mlk Jr St N, Saint Petersburg, FL 33705
601 7 St S, Saint Petersburg, FL 33701
State ID:
L01000001925
Business type:
Florida Limited Liability
Managing Members:
Mark R. Gordon (Managing Member),Randy Lauritzen (Desktop Technician),Amy Williams (Ehr Implementation Specialist),...
SIC6:
801102 - Sports Medicine & Injuries
Categories:
Clinics
Company size:
7

Suncoast Medical Clinic, LLC

1099 5 Ave N, Saint Petersburg, FL 33705

Industry:
Medical Clinic
Ophthalmic Technicians:
Wayne Deloney (Branch Manager),George L. Ettel (Vice-President),Allan Weiss Principal, inactive,...

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