Active NPI
West Coast Travel Medicine Consultants, LLC
- Public Health & General Preventive Medicine Physician
- Safety Harbor, FL
National Provider Identifier
1972791036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME79021 | Other | FL | STATE LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.