CLINICAL RESEARCH WEST COAST.INC NPI 1114311370

NPI Information

NPI: 1114311370
Provider Name: CLINICAL RESEARCH WEST COAST.INC

Former Legal Business Name: CLINICAL RESEARCH WEST COAST.INC

Classification: Clinic/Center - 261QR1100X
Entity Type: Organization

Specialization: Research

Address:
3660 CENTRAL AVE STE 9
FORT MYERS, FL
ZIP 33901
Phone: (239) 208-9677
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CLINICAL RESEARCH WEST COAST.INC is a research clinic center in Fort Myers, FL. CLINICAL RESEARCH WEST COAST.INC NPI is 1114311370. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Clinical Research West Coast.inc.

The provider's business location address is:

3660 CENTRAL AVE STE 9
FORT MYERS, FL
ZIP 33901-258
Phone: (239) 208-9677
Fax: (239) 208-9679

The provider's authorized official is Chris Ricardo Martinez .
The authorized official title is Administrator and has the following contact phone number (954) 665-0430.

The enumeration date for this NPI number is 3/26/2015 and was last updated on 6/20/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1100X	Clinic/Center	Research			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	FLORIDA	EIN

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: 11/14/2023

NPI Synchronization or Removal

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