| Organization Name: | SUNCOAST FITNESS, INC |
| NPI Number: | 1063501484 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL H GLASSCOCK (OWNER) |
| Mailing Address: | 575 75th Ave St Pete Beach |
| State: | FL US |
| Postal Code: | 337061833 |
| Phone Number: | 7273670075 |
| Fax Number: | 7273670402 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 03/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | EXEMPTION# HCC1162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |