Provider Demographics
NPI:1982738605
Name:WEST COAST MEDICAL ASSOCIATES, PASCO, P.A.
Entity Type:Organization
Organization Name:WEST COAST MEDICAL ASSOCIATES, PASCO, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:NADEEM
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-845-1933
Mailing Address - Street 1:6115 STATE ROAD 54
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6036
Mailing Address - Country:US
Mailing Address - Phone:727-845-1933
Mailing Address - Fax:727-845-7307
Practice Address - Street 1:6115 STATE ROAD 54
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6036
Practice Address - Country:US
Practice Address - Phone:727-845-1933
Practice Address - Fax:727-845-7307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0072063207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL97856Medicare ID - Type UnspecifiedGROUP NUMBER