West Coast Wellness And Family Medicine Pa

NPI 1013109974 - Clinic/Center - 261QP2300X

NPI Details
NPI 1013109974
Enumeration Date 08/15/2007
Last Updated 09/11/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JESS HARRIS JESS
Position PRESIDENT
Phone (941) 966-2342
Fax (941) 966-5864
Practice Location
2512 TAMIAMI TRL N
NOKOMIS FL, 34275-3476, US
Phone (941) 966-2342
Fax (941) 966-5864
Business Location
2512 TAMIAMI TRL N
NOKOMIS FL, 34275-3476, US
Phone (941) 966-2342
Fax (941) 966-5864
Toxanomy
Taxonomy Code 261QP2300X
License State Florida
License Number OS-9654
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According to our database, West Coast Wellness And Family Medicine Pa NPI is 1013109974, taxonomy code is 261QP2300X and license number is OS-9654, license state is located at Florida. West Coast Wellness And Family Medicine Pa physically located at 2512 Tamiami Trl N, Nokomis FL, 34275-3476. NPI Number 1033115704 has the healthcare provider type.

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1013109974 NPI number is provided on an as is basis without warranty of any kind. 1013109974 is maintained by the National Plan & Provider Enumeration System. The contents of West Coast Wellness And Family Medicine Pa are for informational purposes only.