Organization · Type 2 NPI

West Florida Medical Associates, PA

Rural Health Clinic/Center · Lecanto, FL

NPI number 1629556527 Active

Practice location

2671 W Norvell Bryant Hwy
Lecanto, FL 34461-9440

Call (352) 513-5906 Map

Fax (352) 513-4872

Mailing address

PO Box 919357
Orlando, FL 32891-9357

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

6 other providers at this address

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NPI record

NPI: 1629556527
Entity type: Organization (Type 2)
Issued: Aug 2, 2018
Last updated: Aug 2, 2018
Status: Active
Subpart: Yes of West Florida Medical Associates, PA

Other names

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Suncoast Primary Care Specialists · doing business as
Suncoast Primary Care Specialists-Lecanto · doing business as

Authorized official

Dr. Alex T Villacastin, MD
MD
(352) 513-5906

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629556527

West Florida Medical Associates, PA's National Provider Identifier is 1629556527, issued on Aug 2, 2018. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lecanto, FL. The record was last updated on Aug 2, 2018.