# WEST COAST AIDS FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467610113
- **Authorized official:** BRENT W LAARTZ MD (PRESIDENT)
- **Authorized official phone:** (727) 669-6800

## Contact information

- **Practice address:** 8607 EASTHAVEN COURT, SUITE 101, NEW PORT RICHEY, FL 34655-5217
- **Practice address phone:** (727) 669-6800
- **Mailing address:** 1840 MEASE DRIVE, SUITE 319, SAFETY HARBOR, FL 34695-6605
- **Mailing address phone:** (727) 669-6800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 6817831-00 | FL | Yes |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 05/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6932118-00 | — | FL |