MEDICARE: WEST COAST MEDICAL CRYSTAL RIVER, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME75485	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417069170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST COAST MEDICAL CRYSTAL RIVER, PA

Provider Business Mailing Address
First Line	:	PO BOX 5288
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34611-5288
Country	:	US
Telephone Number	:	352-666-1703
Fax Number	:	352-666-1366

Provider Business Practice Location Address
First Line	:	4131 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-2469
Country	:	US
Telephone Number	:	352-666-1703
Fax Number	:	352-666-1366

Authorized Official
Title or Position	:	PROVIDER
Name	:	SYED S HASAN
Credential	:	M.D
Telephone Number	:	352-666-1703

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/30/2012

Similar Medicare Providers

1811997406 — GULFVIEW RESPIRATORY CARE
Practice Location Address:

4129 MARINER BLVD
SPRING HILL, FL
34609-2469

Practice Phone: 352-688-8290
Practice Fax:

1366610412 — GULFVIEW RESPIRATORY CARE SERVICES
Practice Location Address:

4129 MARINER BLVD
SPRING HILL, FL
34609-2469

Practice Phone: 352-688-8290
Practice Fax: 352-688-6388

1346552650 — RESTORATIVE THERAPY INC
Practice Location Address:

4121 MARINER BLVD
SPRING HILL, FL
34609-2469

Practice Phone: 352-340-5924
Practice Fax: 352-340-5926

1740587120 — MEDILOT INC
Practice Location Address:

4127 MARINER BLVD
SPRING HILL, FL
34609-2469

Practice Phone: 352-835-7937
Practice Fax: 352-835-7938

1285060863 — RESTORATIVE THERAPY OUTPATIENT, INC
Practice Location Address:

4121 MARINER BLVD
SPRING HILL, FL
34609-2469

Practice Phone: 352-340-5924
Practice Fax: 352-340-5926

1245657576 — RESTORATIVE CARE INC.
Practice Location Address:

4121 MARINER BLVD
SPRING HILL, FL
34609-2469

Practice Phone: 352-340-5924
Practice Fax: 352-340-5926

Directions to “WEST COAST MEDICAL CRYSTAL RIVER, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.