| West Coast Medical Crystal River Pa | |
|
4131 Mariner Blvd Spring Hill FL 34609-2469 | |
| (352) 666-1703 | |
| (352) 666-1366 |
| Full Name | West Coast Medical Crystal River Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4131 Mariner Blvd, Spring Hill, Florida |
| Authorized Official Name and Position | Syed S Hasan (PROVIDER) |
| Authorized Official Contact | 3526661703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Medical Crystal River Pa Po Box 5288 Spring Hill FL 34611-5288 Ph: (352) 666-1703 | West Coast Medical Crystal River Pa 4131 Mariner Blvd Spring Hill FL 34609-2469 Ph: (352) 666-1703 |
| NPI Number | 1417069170 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 05/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417069170 | NPI | - | NPPES |
| 270824800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME75485 (Florida) | Primary |
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