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Contact Information

WEST FLORIDA MEDICAL ASSOCIATES P A
3404 C N LECANTO HWY
BEVERLY HILLS, FL34465
 Phone: 352-746-1558
 Fax: 352-746-3838
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for WEST FLORIDA MEDICAL ASSOCIATES P A · (Female)

NPI Number 1265515001
Status Active
Credentials
Entity Individual
Enumeration date 10/23/2006
Last updated 03/07/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 800008970
  • FL Medicaid 252639500
  • FL Medicaid 252639501
  • FL Other CB6327 RAILROAD MEDICARE
  • FL Other CG8031 RAILROAD MEDICARE
  • FL Other CN2848 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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