Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Parent organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Other names
Deven Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST FLORIDA MEDICAL ASSOCIATES, PA
Authorized official
ULHAS T DEVEN MD (PRESIDENT)
(352) 464-0762
Entity
Organization
Contact information
Practice address
41 N INGLIS AVE STE B, INGLIS, FL 34449-9463
(352) 447-2122
(352) 465-7576
Mailing address
3920 N GRAYHAWK LOOP, LECANTO, FL 34461-8471
(352) 464-0762
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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