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WEST COAST FAMILY PRACTICE LLC NPI 1437208402


NPI Information

NPI: 1437208402
Provider Name: WEST COAST FAMILY PRACTICE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 10D2128688

Address:
11018 N DALE MABRY HWY
SUITE 401
TAMPA, FL
ZIP 33618
Phone: (813) 961-9393
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WEST COAST FAMILY PRACTICE LLC is a family nurse practitioner in Tampa, FL. WEST COAST FAMILY PRACTICE LLC NPI is 1437208402. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11018 N DALE MABRY HWY
SUITE 401
TAMPA, FL
ZIP 33618-802
Phone: (813) 961-9393
Fax: (813) 960-9020

The provider's authorized official is Gail Marie Sadler .
The authorized official title is Owner and has the following contact phone number (813) 961-9393.

The CLIA number assigned to this NPI record is 10D2128688 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 9/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily416522FLORIDANo
2363LF0000XNurse PractitionerFamily1320912FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11083691075MEDICARE ID-TYPE UNSPECIFIEDFLORIDANPI
21740248384OTHERFLORIDANPI NUMBER
3P04449MEDICARE UPINFLORIDA
41538146824MEDICARE ID-TYPE UNSPECIFIEDFLORIDANPI
5S71231MEDICARE UPINFLORIDA
6Y6961MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
7E3955MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.