West Coast Medical Crystal River Pa

LBN: West Coast Medical Crystal River, Pa
West Coast Medical Crystal River Pa is an health care organization with primary practice located at 4131 Mariner Blvd , Spring Hill FL 34609-2469. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. West Coast Medical Crystal River, Pa can be contacted via phone (352) 666-1703, or through Hasan, Syed S via phone (352) 666-1703.

Contact Information

Primary practice address
4131 Mariner Blvd Spring Hill FL 34609-2469
Phone: (352) 666-1703
Fax: (352) 666-1366
Website:
Map and Directions
Authorized official contact:
Name: Hasan, Syed S Doctor of Medicine (MD)
Phone: (352) 666-1703

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME75485 Florida

Profile Details

NPI number 1417069170
LBN Legal business name West Coast Medical Crystal River, Pa
DBA Doing business as West Coast Medical Crystal River Pa
Authorized official Hasan, Syed S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated May 30th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417069170 NPPES
Florida MEDICAID 270824800

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