Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Other names
SUNCOAST PRIMARY CARE SPECIALISTS WILDWOOD
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX VILLACASTIN M.D. (OWNER)
(352) 513-5906
Entity
Organization
Contact information
Practice address
5559 E SR 44 UNIT 4, WILDWOOD, FL 34785-8282
(352) 513-5906
Mailing address
PO BOX 640573, BEVERLY HILLS, FL 34464-0573
(352) 513-5906
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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