Healthcare Provider Details

I. General information

NPI: 1679738298
Provider Name (Legal Business Name): WEST PASCO OB/GYN CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 08/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3027 LANDOVER BLVD
SPRING HILL FL
34608-7260
US

IV. Provider business mailing address

3027 LANDOVER BLVD
SPRING HILL FL
34608-7260
US

V. Phone/Fax

Practice location:
  • Phone: 352-666-0202
  • Fax: 352-688-6726
Mailing address:
  • Phone: 352-666-0202
  • Fax: 352-688-6726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME58500
License Number StateFL

VIII. Authorized Official

Name: DR. THOMAS JOHN ARMBRUSTER
Title or Position: DR/OWNER
Credential: MD
Phone: 352-666-0202