WESTSIDE MEDICAL CARE INC NPI 1730239583

NPI Information

WESTSIDE MEDICAL CARE, INC is a specialist in Bradenton, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WESTSIDE MEDICAL CARE, INC NPI is 1730239583. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Westside Medical Care, Inc.

The provider's business location address is:

1810 59TH ST W
BRADENTON, FL
ZIP 34209-630
Phone: (941) 792-1412
Fax: (941) 795-0753

The provider's authorized official is Pamela A Perry .
The authorized official title is Office Manager and has the following contact phone number (941) 792-1412.

The CLIA number assigned to this NPI record is 10D0295177 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 5/16/2008.

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:

Other Identifiers

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