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Organization

ANITA S. WESTAFER, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANITA S WESTAFER (PHYSICIAN/OWNER)
(850) 934-0932
Entity
Organization

Contact information

Practice address
2569 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3043
(850) 934-0932
(850) 934-0737
Mailing address
2569 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3043
(850) 934-0932
(850) 934-0737

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME36003
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263385000
FL
01
34928
BCBS FLORIDA GROUP #
FL
01
ME36003
FLORIDA MEDICAL LICENSE NUMBER
FL
Enumeration date
04/04/2006
Last updated
06/13/2012
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