# WEST FLORIDA MEDICAL ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEST FLORIDA MEDICAL ASSOCIATES, PA
- **Other names:** Suncoast Primary Care Specialists-Lecanto, Suncoast Primary Care Specialists
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629556527
- **Legal business name:** WEST FLORIDA MEDICAL ASSOCIATES, PA
- **Authorized official:** DR. ALEX T VILLACASTIN MD (MD)
- **Authorized official phone:** (352) 513-5906

## Contact information

- **Practice address:** 2671 W NORVELL BRYANT HWY, LECANTO, FL 34461-9440
- **Practice address phone:** (352) 513-5906
- **Practice address fax:** (352) 513-4872
- **Mailing address:** PO BOX 919357, ORLANDO, FL 32891-9357
- **Mailing address phone:** (352) 746-1558
- **Mailing address fax:** (352) 746-3838

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 08/02/2018