| Organization Name: | SUN CITY CENTER HEALTH AND WELLNESS LLC |
| NPI Number: | 1871992545 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELDRIDGE MCCORMICK (MEDICAL DIRECTOR) |
| Mailing Address: | 3040 E College Ave Ruskin |
| State: | FL US |
| Postal Code: | 335705220 |
| Phone Number: | 8133313940 |
| Fax Number: | 8133313941 |
| NPI Enumeration Date: | 08/19/2014 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |