Organization
WEST FLORIDA MEDICAL ASSOCIATES P A
Active
Other names
Hernando Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRISHKUMAR G PATEL MD (PHYSICIAN)
(352) 637-2550
Entity
Organization
Contact information
Practice address
2669 N FLORIDA AVE, HERNANDO, FL 34442
(352) 637-2550
(352) 637-2551
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
ME0050533
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660089100
—
FL
Enumeration date
02/02/2007
Last updated
10/12/2010
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