Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Other names
West Florida Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
UDAY HIREMATH MD (PHYSICIAN)
(352) 746-3888
Entity
Organization
Contact information
Practice address
405 N. CENTRAL AVE., INVERNESS, FL 34453-3838
(352) 341-2400
(352) 341-2401
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
ME0042494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660071900
—
FL
Enumeration date
02/01/2007
Last updated
10/13/2022
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