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Organization
WEST FLORIDA MEDICAL ASSOCIATES P A
Active
Organization
WEST FLORIDA MEDICAL ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANANDA P. KUMAR M.D. (M.D. / PRESIDENT)
(352) 746-1558
Entity
Organization
Contact information
Practice address
3404 C N LECANTO HWY, BEVERLY HILLS, FL 34465
(352) 746-1558
(352) 746-3838
Mailing address
PO BOX 640573, BEVERLY HILLS, FL 34464-0573
(352) 746-1558
(352) 746-3838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
FL
207Q00000X
Family Medicine Physician
—
FL
207R00000X
Internal Medicine Physician
Primary
—
FL
208000000X
Pediatrics Physician
—
FL
2085R0202X
Diagnostic Radiology Physician
—
FL
208D00000X
General Practice Physician
—
FL
291U00000X
Clinical Medical Laboratory
800008970
FL
363A00000X
Physician Assistant
—
FL
363L00000X
Nurse Practitioner
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252639500
—
FL
05
—
252639501
—
FL
01
—
CB6327
RAILROAD MEDICARE
FL
01
—
CG8031
RAILROAD MEDICARE
FL
01
—
CN2848
RAILROAD MEDICARE
FL
Enumeration date
10/23/2006
Last updated
03/07/2013
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