Organization Active NPI

West Coast Travel Medicine Consultants, LLC

  • Public Health & General Preventive Medicine Physician
  • Safety Harbor, FL
National Provider Identifier
1972791036
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
WEST COAST TRAVEL MEDICINE CONSULTANTS, LLC
Practice address
1840 Mease Dr
Suite 319
Safety Harbor, FL 34695-6602
Phone
(727) 669-6800
Fax
(727) 669-2540
NPI assigned
Oct 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brent W. Laartz, MD
Title
President
Phone
(727) 669-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

1840 Mease Dr
Suite 319
Safety Harbor, FL 34695-6602

Mailing address

1840 Mease Dr
Suite 319
Safety Harbor, FL 34695-6602
Phone (727) 669-6800

Other identifiers 1

IdentifierTypeStateIssuer
ME79021OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1972791036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 319",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-669-6800",
            "fax_number": "727-669-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 319",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-669-6800",
            "fax_number": "727-669-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST TRAVEL MEDICINE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-13",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "LAARTZ",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-669-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME79021",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.