| West Coast Primary Care, Llc | |
|
8250 Bryan Dairy Rd Suite 305 Largo FL 33777-1353 | |
| (727) 391-5008 | |
| (727) 938-1481 |
| Full Name | West Coast Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8250 Bryan Dairy Rd, Largo, Florida |
| Authorized Official Name and Position | Giovanni Baula (PRESIDENT) |
| Authorized Official Contact | 7278248270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Primary Care, Llc 8250 Bryan Dairy Rd Suite 305 Largo FL 33777-1353 Ph: (727) 391-5008 | West Coast Primary Care, Llc 8250 Bryan Dairy Rd Suite 305 Largo FL 33777-1353 Ph: (727) 391-5008 |
| NPI Number | 1528327087 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 05/03/2012 |
| Medicare PECOS PAC ID | 6709041585 |
|---|---|
| Medicare Enrollment ID | O20120628000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528327087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Ligia Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437145661 PECOS PAC ID: 6709836125 Enrollment ID: I20050124000947 |
| Provider Name | Eduardo H Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417955337 PECOS PAC ID: 5597867697 Enrollment ID: I20070220000567 |
| Provider Name | Karen L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417090523 PECOS PAC ID: 7416045117 Enrollment ID: I20071114000018 |
| Provider Name | Gregory W Nestor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639165863 PECOS PAC ID: 0345317251 Enrollment ID: I20080918000349 |
| Provider Name | Enos Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265428494 PECOS PAC ID: 9234253337 Enrollment ID: I20100826000201 |
| Provider Name | Colin Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194710871 PECOS PAC ID: 0749474278 Enrollment ID: I20101028001326 |
| Provider Name | Michael Piety |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811241607 PECOS PAC ID: 0648424952 Enrollment ID: I20130213000332 |
| Provider Name | Amra A Resic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912228784 PECOS PAC ID: 8921256603 Enrollment ID: I20130621000233 |
| Provider Name | David B Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013933787 PECOS PAC ID: 9537208350 Enrollment ID: I20140326001660 |
| Provider Name | Va Im |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396010229 PECOS PAC ID: 4284866427 Enrollment ID: I20140422001406 |
| Provider Name | Samir Klapuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295131993 PECOS PAC ID: 6204154438 Enrollment ID: I20150417001700 |
| Provider Name | Stephanie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114386661 PECOS PAC ID: 0749587558 Enrollment ID: I20160322001827 |
| Provider Name | Amanda B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649672775 PECOS PAC ID: 5294059713 Enrollment ID: I20170915000246 |
| Provider Name | Jessica Tonkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487127379 PECOS PAC ID: 3870831688 Enrollment ID: I20190220001196 |
| Provider Name | Therese M Grandlienard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568822716 PECOS PAC ID: 0749617439 Enrollment ID: I20200219000725 |
| Provider Name | Rene Alcides Exposito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669012431 PECOS PAC ID: 2365857851 Enrollment ID: I20210216000042 |
| Provider Name | Jason D Philippe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982165775 PECOS PAC ID: 4284068578 Enrollment ID: I20220127002257 |
| Provider Name | Lorin A Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548943830 PECOS PAC ID: 8325494818 Enrollment ID: I20231019000460 |
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