West Coast Medicine Of Tampa Bay, Llc

NPI 1568656429 - Family Medicine - 207Q00000X

NPI Details
NPI 1568656429
Enumeration Date 09/04/2007
Last Updated 02/08/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK GEORGE MARK
Position OWNER
Phone (727) 458-3011
Fax
Practice Location
1155 S DALE MABRY HWY
#19
TAMPA FL, 33629-5035, US
Phone (727) 458-3011
Fax
Business Location
PO BOX 1619
LARGO FL, 33779-1619, US
Phone (727) 458-3011
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number OS5165
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According to our database, West Coast Medicine Of Tampa Bay, Llc NPI is 1568656429, taxonomy code is 207Q00000X and license number is OS5165, license state is located at Florida. West Coast Medicine Of Tampa Bay, Llc physically located at 1155 S Dale Mabry Hwy, Tampa FL, 33629-5035. NPI Number 1033115704 has the healthcare provider type.

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1568656429 NPI number is provided on an as is basis without warranty of any kind. 1568656429 is maintained by the National Plan & Provider Enumeration System. The contents of West Coast Medicine Of Tampa Bay, Llc are for informational purposes only.