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Organization
WESTSIDE MEDICAL CARE, INC
Active
Organization
WESTSIDE MEDICAL CARE, INC
Active
Other names
westside medical care, inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA A PERRY (OFFICE MANAGER)
(941) 792-1412
Entity
Organization
Contact information
Practice address
2225 59TH ST W STE B, BRADENTON, FL 34209-7006
(941) 792-1412
(941) 795-0753
Mailing address
2225 59TH ST W STE B, BRADENTON, FL 34209-7006
(941) 792-1412
(941) 795-0753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24084
FL
174400000X
Specialist
Primary
ME71117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE CROSS BLUE SHIE
94816
FL
01
—
DE7241
RR MEDICARE
FL
Enumeration date
01/12/2007
Last updated
09/18/2025
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