West Coast Wellness and Family Medicine PA

NPI #1013109974 in Nokomis, Florida

Provider Information

NPI Number
1013109974
Entity Type
Organization
Organization Name
West Coast Wellness and Family Medicine PA
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 15, 2007
Last Updated
Sep 11, 2007

Practice Location

Address
2512 TAMIAMI TRL N
State
Florida
ZIP Code
34275-3476
Phone
(941) 966-2342

Authorized Official

Name
DR. JESS HARRIS HAWKE, D.O.
Title
PRESIDENT
Phone
(941) 966-2342

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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