Organization
WEST FLORIDA MEDICAL ASSOCIATES P A
Active
Other names
DEVEN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ULHAS T DEVEN MD (PRESIDENT)
(352) 465-1919
Entity
Organization
Contact information
Practice address
11707 N WILLIAMS ST STE 2, DUNNELLON, FL 34432-5855
(352) 465-1199
Mailing address
PO BOX 640573, BEVERLY HILLS, FL 34464-0573
(352) 489-2486
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
08/02/2022
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