Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Parent organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Other names
Suncoast Primary Care Specialists-Lecanto, Suncoast Primary Care Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST FLORIDA MEDICAL ASSOCIATES, PA
Authorized official
DR. ALEX T VILLACASTIN MD (MD)
(352) 513-5906
Entity
Organization
Contact information
Practice address
2671 W NORVELL BRYANT HWY, LECANTO, FL 34461-9440
(352) 513-5906
(352) 513-4872
Mailing address
PO BOX 919357, ORLANDO, FL 32891-9357
(352) 746-1558
(352) 746-3838
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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