WEST COAST TRAVEL MEDICINE CONSULTANTS, LLC (NPI# 1972791036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972791036 |
| Entity Type | Organization |
| Organization Name | WEST COAST TRAVEL MEDICINE CONSULTANTS, LLC |
| Practice Address |
1840 Mease Dr Suite 319 Safety Harbor FL 34695-6602 |
| Practice Telephone | 7276696800 |
| Practice Fax Number | 7276692540 |
| Mailing Telephone | 7276696800 |
| Mailing Fax Number | 7276692540 |
| Enumeration Date | 2007-10-13 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | DR. BRENT W. LAARTZ (PRESIDENT) |
| Authorized Official Telephone | 7276696800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | ME79021 | 01 |
| Street Address |
1840 MEASE DR SUITE 319 |
| City | SAFETY HARBOR |
| State | FL |
| Zip Code | 34695-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861121 | Robert T Roth | Surgery | 1840 Mease Dr, Suite 301, Safety Harbor, FL 34695-6602 | 2005-06-20 |
| 1336751114 | Daniela Lomba | Nurse Practitioner | 1840 Mease Dr, Safety Harbor, FL 34695-6602 | 2020-08-21 |
| 1407201346 | Advanced Urology Institute | Non-Pharmacy Dispensing Site | 1840 Mease Dr, Suite 300, Safety Harbor, FL 34695-6602 | 2016-04-28 |
| 1720442940 | Jackson E. Tillquist | Registered Nurse | 1840 Mease Dr, Suite 200, Safety Harbor, FL 34695-6602 | 2016-04-13 |
| 1326444092 | Margaret Lukez | Nurse Practitioner | 1840 Mease Dr, Suite 319, Safety Harbor, FL 34695-6605 | 2014-11-07 |
| 1518370345 | Countryside Pediatric Care, P.a. | Pediatrics | 1840 Mease Dr, Suite: 405, Safety Harbor, FL 34695-6602 | 2014-06-10 |
| 1679907042 | Christina Laura Marcucci | Physician Assistant | 1840 Mease Dr, Ste 300, Safety Harbor, FL 34695-6602 | 2013-08-21 |
| 1043551328 | Lisa Marie Lauderdale | Nurse Practitioner | 1840 Mease Dr, Suite 402, Safety Harbor, FL 34695-6602 | 2013-03-11 |
| 1922346816 | James P Desmarais | Nurse Practitioner | 1840 Mease Dr, Suite 319, Safety Harbor, FL 34695-6602 | 2013-01-28 |
| 1073851531 | Rajani Medical Group LLC | Internal Medicine | 1840 Mease Dr, Ste 401b, Safety Harbor, FL 34695-6602 | 2013-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931071 | Joli Beauchamp | Occupational Therapy Assistant | 1410 Dr Martin Luther King Jr St. North, Safety Harbor, FL 34695 | 2018-08-14 |
| 1912494733 | Bryan Singleton | Occupational Therapist | 1410 Dr. M, Dr Martin Luther King Jr Street North, Safety Harbor, FL 34695 | 2018-04-17 |
| 1639673007 | Jessica Rojas | Occupational Therapy Assistant | 1410 Dr. Martin Luther King St N, Safety Harbor, FL 34695 | 2018-03-21 |
| 1326547365 | Heather Anne Ramous | Nurse Practitioner | 1840 Mease Dr Ste 307, Safety Harbor, FL 34695 | 2018-02-05 |
| 1922531730 | Jessica Robin Sternberg | Physical Therapy Assistant | 1410 Dr. Martin Luther King Jr. Street North, Safety Harbor, FL 34695 | 2017-04-07 |
| 1861863102 | Pamela Guida | Physical Therapy Assistant | 1410 Dr M L King Jr St N, Safety Harbor, FL 34695 | 2015-10-13 |
| 1962888792 | Lauren Ramos | Nurse Practitioner | 1840 Mease Dr., Suite 204, Palm Harbor, FL 34695 | 2015-08-04 |
| 1306285010 | Paulas Madhusudan Vyas | Urology | 1840 Mease Dr Ste 300, Safety Harbor, FL 34695 | 2013-06-17 |
| 1871803643 | Bridget Stirling Tyrka | Contractor | 1045 3rd St N, Safety Harbor, FL 34695 | 2010-10-14 |
| 1326211574 | Helen L. Techler | Audiologist | 583 Main Street, Suite A, Safety Harbor, FL 34695 | 2008-04-09 |
| Find all providers in zip 34695 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
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|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1174147193 | Virtu30 Telehealth Services | Preventive Medicine | 1540 16th St Ne, Naples, FL 34120-3447 | 2020-06-05 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1659990521 | Nickson Henry | Preventive Medicine | 4700 Portofino Way Apt 201, West Palm Beach, FL 33409-8174 | 2020-04-10 |
| 1609402619 | Bro Roc, LLC | Preventive Medicine | 1809 Ne 59th St, Fort Lauderdale, FL 33308-2443 | 2020-03-21 |
| 1306353776 | Roxanne Summerville | Preventive Medicine | 1064 N Tamiami Trl Unit 1302, Sarasota, FL 34236-2475 | 2018-01-06 |
| 1659884039 | Donald Joseph Crane | Preventive Medicine | 3125 Merion Dr, Miramar Beach, FL 32550-7887 | 2017-11-08 |
| 1801257183 | Sofia Abigail Funes | Preventive Medicine | 8 Hemlock Circle Ct, Ocala, FL 34472-9092 | 2016-03-14 |
| 1669850640 | Lareece Long | Preventive Medicine | 715 Bellshire Way, Winter Garden, FL 34787-2430 | 2015-05-11 |
| 1770908477 | Robert David Willix Jr. | Preventive Medicine | 501 E Camino Real, Boca Raton, FL 33432-6127 | 2014-03-04 |
| Find all providers with the same taxonomy | ||||
| City | SAFETY HARBOR |
| Zip Code | 34695 |
Please comment or provide details below to improve the information on WEST COAST TRAVEL MEDICINE CONSULTANTS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.