| West Coast Medicine Of Tampa Bay, Llc | |
|
1155 S Dale Mabry Hwy #19 Tampa FL 33629-5035 | |
| (727) 458-3011 | |
| Not Available |
| Full Name | West Coast Medicine Of Tampa Bay, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1155 S Dale Mabry Hwy, Tampa, Florida |
| Authorized Official Name and Position | Mark George Kantzler (OWNER) |
| Authorized Official Contact | 7274583011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Medicine Of Tampa Bay, Llc Po Box 1619 Largo FL 33779-1619 Ph: (727) 458-3011 | West Coast Medicine Of Tampa Bay, Llc 1155 S Dale Mabry Hwy #19 Tampa FL 33629-5035 Ph: (727) 458-3011 |
| NPI Number | 1568656429 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568656429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS5165 (Florida) | Primary |
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