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General NPI Number Information
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NPI Number | 1780897561
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Entity Type | Organization
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Legal Business Name | WEST COAST MEDICAL MANAGEMENT INC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13540 NO FLORIDA AVE SUITE 103
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City | TAMPA
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State | FL
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Zip | 33613
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Country | US
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Telephone | 813-968-2959
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Fax | 813-908-7152
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Provider Business Mailing Address
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Address Line | PO BOX 469
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City | ELFERS
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State | FL
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Zip | 34680
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Country | US
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Telephone | 813-968-2959
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Fax | 813-908-7152
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANTHONY CIRRUZZO
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Credential | OWNER
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Telephone | 813-968-2959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | HHC3696
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License Number State | FL
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