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Organization
WEST FLORIDA PHYSICIAN NETWORK, LLC
Active
Organization
WEST FLORIDA PHYSICIAN NETWORK, LLC
Active
Other names
HealthCare America Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT/AO)
(615) 372-3375
Entity
Organization
Contact information
Practice address
315 75TH ST W, BRADENTON, FL 34209-3201
(941) 761-1998
(877) 501-8537
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7600
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33271
BCBS GROUP PROVIDER #
FL
01
—
CD227A
MEDICARE GROUP #
FL
Enumeration date
06/03/2009
Last updated
10/21/2020
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