Organization
WEST COAST WELLNESS AND FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESS HARRIS HAWKE D.O. (PRESIDENT)
(941) 966-2342
Entity
Organization
Contact information
Practice address
2512 TAMIAMI TRL N, NOKOMIS, FL 34275-3476
(941) 966-2342
(941) 966-5864
Mailing address
2512 TAMIAMI TRL N, NOKOMIS, FL 34275-3476
(941) 966-2342
(941) 966-5864
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS-9654
FL
Other
Enumeration date
08/15/2007
Last updated
09/11/2007
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