Healthcare Provider Details

I. General information

NPI: 1821235052
Provider Name (Legal Business Name): WEST COAST ALL SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2009
Last Update Date: 01/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10020 HIGHWAY 301 N
TAMPA FL
33637-5305
US

IV. Provider business mailing address

25436 GEDDY DR
LAND O LAKES FL
34639-5669
US

V. Phone/Fax

Practice location:
  • Phone: 813-985-0850
  • Fax: 813-985-6563
Mailing address:
  • Phone: 813-985-0850
  • Fax: 813-985-6563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAYA BYNZAR
Title or Position: OWNER
Credential:
Phone: 813-985-0850