Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Other names
Citrus Springs Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX VILLACASTIN MD (PHYSICIAN)
(352) 489-2486
Entity
Organization
Contact information
Practice address
10489 N FLORIDA AVE, CITRUS SPRINGS, FL 34434-3268
(352) 489-2486
(352) 489-5786
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
ME0071085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660075101
—
FL
Enumeration date
02/01/2007
Last updated
08/27/2008
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