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General NPI Number Information
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NPI Number | 1841089851
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Entity Type | Organization
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Legal Business Name | WESTCARE GULFCOAST FLORIDA, INC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 15000 CITRUS COUNTRY DR STE 105
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City | DADE CITY
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State | FL
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Zip | 33523-6015
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Country | US
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Telephone | 813-780-8288
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Fax |
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Provider Business Mailing Address
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Address Line | 1735 MARTIN LUTHER KING ST S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-2404
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Country | US
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Telephone | 727-620-1082
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Fax |
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Authorized Official
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Title or Position | REGIONAL VICE PRESIDENT
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Name | STEVE BLANK
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Credential |
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Telephone | 727-620-1082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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