West Florida Medical Associates, Pa

NPI 1053567487 - Internal Medicine - 207R00000X

NPI Details
NPI 1053567487
Enumeration Date 08/18/2008
Last Updated 08/18/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RAJENDRA RAJENDRA
Position PHYSICAN
Phone (352) 447-3031
Fax (352) 447-1705
Practice Location
41 N INGLIS AVE
INGLIS FL, 34449-9463, US
Phone (352) 447-3031
Fax (352) 447-1705
Business Location
PO BOX 640573
BEVERLY HILLS FL, 34464-0573, US
Phone (352) 746-1558
Fax (352) 746-3838
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME0060472
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According to our database, West Florida Medical Associates, Pa NPI is 1053567487, taxonomy code is 207R00000X and license number is ME0060472, license state is located at Florida. West Florida Medical Associates, Pa physically located at 41 N Inglis Ave, Inglis FL, 34449-9463. NPI Number 1033115704 has the healthcare provider type.

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1053567487 NPI number is provided on an as is basis without warranty of any kind. 1053567487 is maintained by the National Plan & Provider Enumeration System. The contents of West Florida Medical Associates, Pa are for informational purposes only.