Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI # | 1922481720 |
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| LBN Legal business name | SUNCOAST ENDOSCOPY OF SARASOTA LLC | ||||||||
| Authorized official | DOUGLAS KUPERMAN - (CFO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/30/2015 | ||||||||
| Last updated | 06/30/2015 - About 11 years ago | ||||||||
| Identifiers |
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