Anita S. Westafer, M.d., P.a. | |
2569 Gulf Breeze Pkwy Gulf Breeze FL 32563-3043 | |
(850) 934-0932 | |
(850) 934-0737 |
Full Name | Anita S. Westafer, M.d., P.a. |
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Speciality | Family Medicine |
Location | 2569 Gulf Breeze Pkwy, Gulf Breeze, Florida |
Authorized Official Name and Position | Anita S Westafer (PHYSICIAN/OWNER) |
Authorized Official Contact | 8509340932 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Anita S. Westafer, M.d., P.a. 2569 Gulf Breeze Pkwy Gulf Breeze FL 32563-3043 Ph: (850) 934-0932 | Anita S. Westafer, M.d., P.a. 2569 Gulf Breeze Pkwy Gulf Breeze FL 32563-3043 Ph: (850) 934-0932 |
NPI Number | 1972565091 |
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Provider Enumeration Date | 04/04/2006 |
Last Update Date | 06/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972565091 | NPI | - | NPPES |
ME36003 | Other | FL | FLORIDA MEDICAL LICENSE NUMBER |
263385000 | Medicaid | FL | |
34928 | Other | FL | BCBS FLORIDA GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME36003 (Florida) | Primary |
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Coastal Medical Integration Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3481 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-903-1708 | |
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