| NPI | 1417069170 |
|---|---|
| Doing Business As | WEST COAST MEDICAL CRYSTAL RIVER PA |
| Entity Type | Organization |
| Authorized Contact | SYED S HASAN Provider 352-666-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME75485) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-05-30 |