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Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Other names
Suncoast Primary Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX T VILLACASTIN M.D. (PHYSICIAN)
(352) 489-2486
Entity
Organization
Contact information
Practice address
7991 S. SUNCOAST BLVD., HOMOSASSA, FL 34446-5005
(352) 382-8282
(352) 382-2289
Mailing address
PO BOX 640573, BEVERLY HILLS, FL 34464-0573
(352) 746-1558
(352) 746-3838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME71085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251806600
—
FL
Enumeration date
04/08/2009
Last updated
01/14/2011
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