| West Coast Medical Group Inc | |
|
36503 Us Highway 19 N Palm Harbor FL 34684-1340 | |
| (727) 787-5151 | |
| Not Available |
| Full Name | West Coast Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 36503 Us Highway 19 N, Palm Harbor, Florida |
| Authorized Official Name and Position | Donald Evans (CEO) |
| Authorized Official Contact | 7279425000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Medical Group Inc 1395 S Pinellas Ave Tarpon Springs FL 34689-3790 Ph: (727) 942-5000 | West Coast Medical Group Inc 36503 Us Highway 19 N Palm Harbor FL 34684-1340 Ph: (727) 787-5151 |
| NPI Number | 1184813750 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 06/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184813750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME92944 (Florida) | Primary |
| 207R00000X | Internal Medicine | ME0075919 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME0099826 (Florida) | Secondary |
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