Provider Demographics
NPI:1427462738
Name:SUNCOAST PSYCHIATRY & COUNSELING LLC
Entity type:Organization
Organization Name:SUNCOAST PSYCHIATRY & COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-361-3050
Mailing Address - Street 1:100 WALLACE AVE
Mailing Address - Street 2:STE 250
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-6058
Mailing Address - Country:US
Mailing Address - Phone:941-361-3050
Mailing Address - Fax:941-361-3025
Practice Address - Street 1:100 WALLACE AVE
Practice Address - Street 2:STE 250
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6058
Practice Address - Country:US
Practice Address - Phone:941-361-3050
Practice Address - Fax:941-361-3025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME776612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty