Organization
NATURE COAST FAMILY MEDICAL CLINIC
Active
Other names
West Florida Medical Associates, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENUGOPALA A REDDY MD (PHYSICIAN)
(352) 746-2227
Entity
Organization
Contact information
Practice address
3400 N LECANTO HWY, BEVERLY HILLS, FL 34465-3548
(352) 746-2227
(352) 746-3587
Mailing address
PO BOX 640573, BEVERLY HILLS, FL 34464-0573
(352) 746-1558
(352) 746-3838
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
ME 0042494
FL
261QR1300X
Rural Health Clinic/Center
ME0055461
FL
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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