# WEST FLORIDA MEDICAL ASSOCIATES, P. A

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEST FLORIDA MEDICAL ASSOCIATES, P.A.
- **Other names:** Comprehensive Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336454339
- **Legal business name:** WEST FLORIDA MEDICAL ASSOCIATES, P.A.
- **Authorized official:** HASIBUL H. KHAN M.D. (PHYSICIAN/DIRECTOR)
- **Authorized official phone:** (352) 503-2011

## Contact information

- **Practice address:** 4363 SOUTH SUNCOAST BLVD, HOMOSASSA SPRINGS, FL 34446
- **Practice address phone:** (352) 503-2011
- **Practice address fax:** (352) 503-6892
- **Mailing address:** 3404 N. LECANTO HWY, SUITE C, BEVERLY HILLS, FL 34465
- **Mailing address phone:** (352) 746-1558
- **Mailing address fax:** (352) 746-3838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | ME100419 | FL | — |
| 261QR1300X | Rural Health Clinic/Center | ME69230 | FL | Yes |

## Other

- **Enumeration date:** 08/13/2010
- **Last updated:** 04/10/2013