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Organization
WEST COAST MEDICAL CORP.
Active
Organization
WEST COAST MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DIAZ (PRESIDENT)
(305) 871-5397
Entity
Organization
Contact information
Practice address
6555 NW 36TH ST, SUITE 205, VIRGINIA GARDENS, FL 33166-6978
(305) 871-5397
Mailing address
6555 NW 36TH ST, SUITE 205, VIRGINIA GARDENS, FL 33166-6978
(305) 871-5397
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NOT REQ 4 SUPPLIER
FL
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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