West Florida Medical Associates, PA
Clinic/Center, Rural Health in Inverness, FL. Organization (NPI-2).
NPI number1255479218
StatusActive
Last updated in NPPESJun 16, 2009
Details
- NPI
- 1255479218
- Entity type
- Organization (NPI-2)
- Legal business name
- West Florida Medical Associates, PA
- Organization subpart
- No
- Enumeration date
- Feb 2, 2007
- Last updated
- Jun 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | ME0071085 | FL | Yes |
Other names
- Suncoast Primary Care Specialists (Doing Business As)
Practice location
3733 E Gulf To Lake HwyInverness, FL 34453-3206
Phone 352-465-8001 · Fax 352-465-8800
Mailing address
Po Box 640573Beverly Hills, FL 34464-0573
Phone 352-746-1558 · Fax 352-746-3838
Authorized official
Alex Villacastin
Physician
3523415520
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