West Coast Infectious Diseases Pa

NPI 1053579797 - Internal Medicine - 207RI0200X

NPI Details
NPI 1053579797
Enumeration Date 05/29/2008
Last Updated 04/29/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RENEE L RENEE
Position ADMINISTRATOR
Phone (727) 669-6800
Fax (727) 669-2540
Practice Location
8607 EASTHAVEN COURT
SUITE 101
NEW PORT RICHEY FL, 34655-5217, US
Phone (727) 669-6800
Fax (727) 669-2540
Business Location
1840 MEASE DRIVE
SUITE 319
SAFETY HARBOR FL, 34695-6605, US
Phone (727) 669-6800
Fax
Toxanomy
Taxonomy Code 207RI0200X
License State Florida
License Number ME79021
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According to our database, West Coast Infectious Diseases Pa NPI is 1053579797, taxonomy code is 207RI0200X and license number is ME79021, license state is located at Florida. West Coast Infectious Diseases Pa physically located at 8607 Easthaven Court, New Port Richey FL, 34655-5217. NPI Number 1033115704 has the healthcare provider type.

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1053579797 NPI number is provided on an as is basis without warranty of any kind. 1053579797 is maintained by the National Plan & Provider Enumeration System. The contents of West Coast Infectious Diseases Pa are for informational purposes only.