Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Other names
Comprehensive Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASIBUL H KHAN M.D. (PHYSICAN)
(352) 560-3000
Entity
Organization
Contact information
Practice address
213 S PINE AVE, INVERNESS, FL 34452-4830
(352) 560-3000
(352) 419-6513
Mailing address
3404 N LECANTO HWY STE C, BEVERLY HILLS, FL 34465-3569
(352) 746-1558
(352) 746-3838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME100419
FL
207R00000X
Internal Medicine Physician
ME69230
FL
363A00000X
Physician Assistant
PA9102858
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001124800
—
FL
05
—
00281900
—
FL
Enumeration date
03/16/2009
Last updated
09/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up