Organization
WEST COAST INFECTIOUS DISEASES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE L MANCINE (ADMINISTRATOR)
(727) 669-6800
Entity
Organization
Contact information
Practice address
8607 EASTHAVEN CT STE 101, NEW PORT RICHEY, FL 34655-5217
(727) 669-6800
(727) 669-2540
Mailing address
8607 EASTHAVEN CT STE 101, NEW PORT RICHEY, FL 34655-5217
(727) 669-6800
(727) 669-2540
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274992100
—
FL
Enumeration date
08/31/2006
Last updated
11/06/2023
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