WEST FLORIDA MEDICAL ASSOCIATES, PA (NPI# 1629556527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629556527 |
Entity Type | Organization |
Organization Name | WEST FLORIDA MEDICAL ASSOCIATES, PA |
Other Organization Name | SUNCOAST PRIMARY CARE SPECIALISTS |
Practice Address |
2671 W Norvell Bryant Hwy Lecanto FL 34461-9440 |
Mailing Address |
Po Box 919357 Orlando FL 32891-9357 |
Practice Telephone | 3525135906 |
Practice Fax Number | 3525134872 |
Mailing Telephone | 3527461558 |
Mailing Fax Number | 3527463838 |
Enumeration Date | 2018-08-02 |
Last Update Date | 2018-08-02 |
Authorized Official Name | DR. ALEX T VILLACASTIN (MD) |
Authorized Official Telephone | 3525135906 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | WEST FLORIDA MEDICAL ASSOCIATES, PA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Suncoast Primary Care Specialists | Doing Business As Name - Organization |
Suncoast Primary Care Specialists-Lecanto | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447493358 | West Florida Medical Associates, Pa | Internal Medicine | 7991 S. Suncoast Blvd., Homosassa, FL 34446-5005 | 2009-04-08 |
1922249986 | West Florida Medical Associates, Pa | Family Medicine | 511 W Highland Ave., Inverness, FL 34450 | 2009-03-20 |
1275671232 | West Florida Medical Associates, Pa | Clinic/Center | 3745 N Lecanto Hwy, Beverly Hills, FL 34465-3504 | 2007-02-02 |
1255479218 | West Florida Medical Associates, Pa | Clinic/Center | 3733 E Gulf To Lake Hwy, Inverness, FL 34453-3206 | 2007-02-02 |
1407994510 | West Florida Medical Associates, Pa | Clinic/Center | 405 N. Central Ave., Inverness, FL 34453-3838 | 2007-02-01 |
1851547285 | West Florida Medical Associates, Pa | Family Medicine | 2669 N Florida Ave, Hernando, FL 34442-4331 | 2008-08-18 |
1497901821 | West Florida Medical Associates, Pa | Internal Medicine | 3745 N Lecanto Hwy, Beverly Hills, FL 34465-3504 | 2008-08-18 |
1053567487 | West Florida Medical Associates, Pa | Internal Medicine | 41 N Inglis Ave, Inglis, FL 34449-9463 | 2008-08-18 |
1265688295 | West Florida Medical Associates, Pa | Internal Medicine | 11707 N Williams St, Dunnellon, FL 34432-5890 | 2008-08-11 |
1144355587 | West Florida Medical Associates, Pa | Clinic/Center | 7647 W Gulf To Lake Hwy, Crystal River, FL 34429-7962 | 2007-02-23 |
Street Address |
2671 W NORVELL BRYANT HWY |
City | LECANTO |
State | FL |
Zip Code | 34461-9440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326010398 | Histopath Lab, Pa | Clinical Medical Laboratory | 2671 W Norvell Bryant Hwy, Lecanto, FL 34461-9440 | 2006-02-03 |
1992366967 | Jennifer Casola | Nurse Practitioner | 2671 W Norvell Bryant Hwy, Lecanto, FL 34461-9440 | 2019-06-21 |
1427467182 | Histopath Lab, Pa- Toxicology | Clinical Medical Laboratory | 2671 W Norvell Bryant Hwy, Lecanto, FL 34461-9440 | 2014-08-07 |
1518392653 | Histopath Lab, Pa- Genomics | Clinical Medical Laboratory | 2671 W Norvell Bryant Hwy, Lecanto, FL 34461-9440 | 2013-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
Find all providers in zip 34461 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437575693 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2014-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.