| West Florida Medical Associates, Pa | |
|
2671 W Norvell Bryant Hwy Lecanto FL 34461-9440 | |
| (352) 513-5906 | |
| (352) 513-4872 |
| Full Name | West Florida Medical Associates, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2671 W Norvell Bryant Hwy, Lecanto, Florida |
| Authorized Official Name and Position | Alex T Villacastin (MD) |
| Authorized Official Contact | 3525135906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Florida Medical Associates, Pa Po Box 919357 Orlando FL 32891-9357 Ph: (352) 746-1558 | West Florida Medical Associates, Pa 2671 W Norvell Bryant Hwy Lecanto FL 34461-9440 Ph: (352) 513-5906 |
| NPI Number | 1629556527 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 08/02/2018 |
| Medicare PECOS PAC ID | 9032023221 |
|---|---|
| Medicare Enrollment ID | O20180925000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629556527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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