Organization
WEST COAST TRAVEL MEDICINE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT W. LAARTZ MD (PRESIDENT)
(727) 669-6800
Entity
Organization
Contact information
Practice address
1840 MEASE DR, SUITE 319, SAFETY HARBOR, FL 34695-6602
(727) 669-6800
(727) 669-2540
Mailing address
1840 MEASE DR, SUITE 319, SAFETY HARBOR, FL 34695-6602
(727) 669-6800
(727) 669-2540
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME79021
STATE LICENSE
FL
Enumeration date
10/13/2007
Last updated
04/29/2014
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