Suncoast Primary Care Specialists | |
7991 S. Suncoast Blvd. Homosassa FL 34446-5005 | |
(352) 382-8282 | |
(352) 382-2289 |
Full Name | Suncoast Primary Care Specialists |
---|---|
Speciality | Internal Medicine |
Location | 7991 S. Suncoast Blvd., Homosassa, Florida |
Authorized Official Name and Position | Alex T Villacastin (PHYSICIAN) |
Authorized Official Contact | 3524892486 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Suncoast Primary Care Specialists Po Box 640573 Beverly Hills FL 34464-0573 Ph: (352) 746-1558 | Suncoast Primary Care Specialists 7991 S. Suncoast Blvd. Homosassa FL 34446-5005 Ph: (352) 382-8282 |
NPI Number | 1447493358 |
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Provider Enumeration Date | 04/08/2009 |
Last Update Date | 01/14/2011 |
Medicare PECOS PAC ID | 9032023221 |
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Medicare Enrollment ID | O20100109000420 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447493358 | NPI | - | NPPES |
251806600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME71085 (Florida) | Primary |
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