Active NPI
JM West Coast Inc
- General Practice Physician
- Tampa, FL
National Provider Identifier
1760695936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- JM WEST COAST INC
- Practice address
- 13505 Summit Ave
Suite 2
Tampa, FL 33613-3326 - Phone
- (813) 514-3716
- Fax
- (813) 654-4278
- NPI assigned
- May 7, 2007
- 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
- Mr. Jose Y Martin
- Title
- Director
- Phone
- (813) 514-3716
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
13505 Summit Ave
Suite 2
Tampa, FL 33613-3326
Mailing address
13505 Summit Ave
Suite 2
Tampa, FL 33613-3326
Phone (813) 514-3716
National Provider Directory
National Provider DirectoryLocations
13505 Summit Ave
Ste 2
Tampa, FL 33613
Phone (813) 514-3716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760695936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13505 SUMMIT AVE",
"address_2": "SUITE 2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133326",
"telephone_number": "813-514-3716",
"fax_number": "813-654-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13505 SUMMIT AVE",
"address_2": "SUITE 2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133326",
"telephone_number": "813-514-3716",
"fax_number": "813-654-4278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JM WEST COAST INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "813-514-3716",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Henry A Joa Palacios
- Joan Carter M.D., P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.