Provider Demographics
NPI:1679738298
Name:WEST PASCO OB/GYN CENTER, P.A.
Entity Type:Organization
Organization Name:WEST PASCO OB/GYN CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ARMBRUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-666-0202
Mailing Address - Street 1:3027 LANDOVER BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-7260
Mailing Address - Country:US
Mailing Address - Phone:352-666-0202
Mailing Address - Fax:352-688-6726
Practice Address - Street 1:3027 LANDOVER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-7260
Practice Address - Country:US
Practice Address - Phone:352-666-0202
Practice Address - Fax:352-688-6726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME58500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256396700Medicaid
FLK0673Medicare PIN
FL256396700Medicaid