# WEST FLORIDA MEDICAL ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUNCOAST PRIMARY CARE SPECIALISTS WILDWOOD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770249534
- **Authorized official:** ALEX VILLACASTIN M.D. (OWNER)
- **Authorized official phone:** (352) 513-5906

## Contact information

- **Practice address:** 5559 E SR 44 UNIT 4, WILDWOOD, FL 34785-8282
- **Practice address phone:** (352) 513-5906
- **Mailing address:** PO BOX 640573, BEVERLY HILLS, FL 34464-0573
- **Mailing address phone:** (352) 513-5906

## Taxonomy

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

## Other

- **Enumeration date:** 11/16/2021
- **Last updated:** 11/16/2021