# WEST COAST MEDICAL CORP.

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

## Provider details

- **NPI number:** 1669533873
- **Authorized official:** ERIC DIAZ (PRESIDENT)
- **Authorized official phone:** (305) 871-5397

## Contact information

- **Practice address:** 6555 NW 36TH ST, SUITE 205, VIRGINIA GARDENS, FL 33166-6978
- **Practice address phone:** (305) 871-5397
- **Mailing address:** 6555 NW 36TH ST, SUITE 205, VIRGINIA GARDENS, FL 33166-6978
- **Mailing address phone:** (305) 871-5397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | NOT REQ 4 SUPPLIER | FL | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/22/2020