Active NPI
West Coast Pathology of Florida PA
- Anatomic Pathology & Clinical Pathology Physician
- Brooksville, FL
National Provider Identifier
1346286226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- WEST COAST PATHOLOGY OF FLORIDA PA
- Practice address
- 11375 Cortez Blvd
Brooksville, FL 34613-5409 - Phone
- (305) 665-4614
- Fax
- (770) 776-5966
- NPI assigned
- Jun 21, 2006
- Last updated
- Jul 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Mobley, MD
- Title
- President
- Phone
- (352) 596-6632
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
11375 Cortez Blvd
Brooksville, FL 34613-5409
Mailing address
PO Box 60100
Charleston, SC 29419-0100
Phone (305) 665-4614
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77905A | Other | FL | BLUE CROSS BLUE SHIELD |
| 058311101 | Medicaid | FL | |
| 77905 | Other | FL | BLUE CROSS BLUE SHIELD |
| 058311100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Brooksville, FL
- NPI 1174546717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216944000000",
"number": "1346286226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60100",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294190100",
"telephone_number": "305-665-4614",
"fax_number": "770-776-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11375 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135409",
"telephone_number": "305-665-4614",
"fax_number": "770-776-5966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COAST PATHOLOGY OF FLORIDA PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2008-07-25",
"status": "A",
"authorized_official_last_name": "MOBLEY",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-596-6632",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "77905A",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058311101",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "77905",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058311100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
- Kierstin Sarah Weber, O.T.
- Rebecca L Webster
- Kristin Nichole Weibley, LCSW
- Mackenzie John Welch, DC
- West Coast Musculoskeletal Institute PL
- West Coast Surgical Associates
- West Florida Cardiology Network, LLC
- West Hernando Diagnostic & Mr Center (West Hernando Diagnostic Center Brooksville)
- West Shore Endodontics, PLLC
- Yileidy West
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.