| West Coast Wellness And Family Medicine Pa | |
|
2512 Tamiami Trl N Nokomis FL 34275-3476 | |
| (941) 966-2342 | |
| (941) 966-5864 |
| Full Name | West Coast Wellness And Family Medicine Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2512 Tamiami Trl N, Nokomis, Florida |
| Authorized Official Name and Position | Jess Harris Hawke (PRESIDENT) |
| Authorized Official Contact | 9419662342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Wellness And Family Medicine Pa 2512 Tamiami Trl N Nokomis FL 34275-3476 Ph: (941) 966-2342 | West Coast Wellness And Family Medicine Pa 2512 Tamiami Trl N Nokomis FL 34275-3476 Ph: (941) 966-2342 |
| NPI Number | 1013109974 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 09/11/2007 |
| Medicare PECOS PAC ID | 6901998681 |
|---|---|
| Medicare Enrollment ID | O20070828000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013109974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS-9654 (Florida) | Primary |
| Provider Name | Jess H Hawke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134164742 PECOS PAC ID: 5890796726 Enrollment ID: I20070120000007 |
Vmd Primary Providers Central Florida Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Tamiami Trl N, Nokomis, FL 34275 Phone: 407-798-8800 Fax: 813-336-8321 | |
Wellness U, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2462 Laurel Rd E Unit 544, Nokomis, FL 34275 Phone: 423-240-8288 |