Provider Demographics
NPI:1063201077
Name:WESTCARE GULFCOAST FLORIDA, INC
Entity type:Organization
Organization Name:WESTCARE GULFCOAST FLORIDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-620-1082
Mailing Address - Street 1:1735 MARTIN LUTHER KING ST S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-2404
Mailing Address - Country:US
Mailing Address - Phone:727-620-1082
Mailing Address - Fax:
Practice Address - Street 1:8800 49TH ST N STE 403
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5341
Practice Address - Country:US
Practice Address - Phone:727-490-6768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health