GULF COAST RECOVERY INC (NPI# 1275759656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275759656 |
| Entity Type | Organization |
| Organization Name | GULF COAST RECOVERY INC |
| Practice Address |
145 108th Avenue Treasure Island FL 33706 |
| Practice Telephone | 7273679662 |
| Practice Fax Number | 7273679661 |
| Mailing Telephone | 7273679662 |
| Mailing Fax Number | 7273679661 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MATTHEW B SCHWARZ (CEO) |
| Authorized Official Telephone | 7273679662 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VALUE OPTION | 548542 | 01 | |
| FL | BCBS OF FLORIDA | S6D | 01 |
| Street Address |
145 108TH AVENUE |
| City | TREASURE ISLAND |
| State | FL |
| Zip Code | 33706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669901278 | Daphne Priya Lazarus | Licensed Practical Nurse | 519 Plaza Seville Court, #37, Treasure Island, FL 33706 | 2017-06-07 |
| 1619304771 | Amanda Gibson | Case Manager/Care Coordinator | 11605 3rd Street E, Treasure Island, FL 33706 | 2013-10-03 |
| 1235571043 | Carl William Winans | General Practice | 106-15th Ave, St. Pete Beach, FL 33706 | 2013-07-22 |
| 1568625234 | Bay Area Taxi Service Inc | Taxi | 5201 Gulf Boulevard, St Pete Beach, FL 33706 | 2008-07-03 |
| 1760652804 | Asta Elena Grinis | Dentist | 8351 Blind Pass Rd, St Pete Beach, FL 33706 | 2008-03-05 |
| 1841419900 | Vanessa Kathleen Shields | Chiropractor | 127 86th Avenue, Treasure Island, FL 33706 | 2007-04-25 |
| 1639290877 | Herbert Gersh | Physical Medicine & Rehabilitation | 12336 Sun Vista Ct, Treasure Island, FL 33706 | 2007-04-03 |
| 1548385347 | Tania Ann Culverhouse | Speech-Language Pathologist | 11420 4th Street East, Treasure Island, FL 33706 | 2007-03-20 |
| 1104801018 | Keith Roberts Runyan | Internal Medicine | 3305 W Maritana Dr, St Pete Beach, FL 33706 | 2005-12-13 |
| 1932345873 | Allen Lindsay, Ph.d, Pa | Psychologist | 100 Corey Ave, St Pete Beach, FL 33706 | 2008-12-24 |
| Find all providers in zip 33706 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568758969 | Footprints Beachside Recovery | Clinic/Center | 151 107th Ave, #13, Treasure Island, FL 33706-4734 | 2011-06-23 |
| 1487002457 | Footprints Beachside Recovery Inc | Clinic/Center | 151 107th Ave, Suite 13, Treasure Island, FL 33706-4734 | 2016-05-31 |
| 1235413089 | Coast Therapeutic Services, Inc | Clinic/Center | 145 108th Ave, Treasure Island, FL 33706-4747 | 2011-09-28 |
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| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | TREASURE ISLAND |
| Zip Code | 33706 |
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| 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.