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Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Other names
SUNCOAST PRIMARY CARE SPECIALISTS WILDWOOD
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX VILLACASTIN M.D. (OWNER)
(352) 513-5906
Entity
Organization
Contact information
Practice address
5559 E SR 44 UNIT 4, WILDWOOD, FL 34785-8282
(352) 513-5906
Mailing address
PO BOX 640573, BEVERLY HILLS, FL 34464-0573
(352) 513-5906
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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