NATURE COAST FAMILY MEDICAL CLINIC NPI 1124277413

NPI Information

NPI: 1124277413
Provider Name: NATURE COAST FAMILY MEDICAL CLINIC

Other Name: WEST FLORIDA MEDICAL ASSOCIATES, PA

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
3400 N LECANTO HWY
BEVERLY HILLS, FL
ZIP 34465
Phone: (352) 746-2227
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NATURE COAST FAMILY MEDICAL CLINIC is a rural health clinic center in Beverly Hills, FL. NATURE COAST FAMILY MEDICAL CLINIC NPI is 1124277413. The provider is registered as an organization entity type.
The provider Other Name Is West Florida Medical Associates, Pa.

The provider's business location address is:

3400 N LECANTO HWY
BEVERLY HILLS, FL
ZIP 34465-548
Phone: (352) 746-2227
Fax: (352) 746-3587

The provider's authorized official is Venugopala A Reddy .
The authorized official title is Physician and has the following contact phone number (352) 746-2227.

The CLIA number assigned to this NPI record is 10D0885200 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 9/11/2008.

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	261QR1300X	Clinic/Center	Rural Health	ME0055461	FLORIDA	No
2	261QR1300X	Clinic/Center	Rural Health	ME 0042494	FLORIDA	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	103942	MEDICARE OSCAR/CERTIFICATION	FLORIDA

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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