GULF COAST FAMILY CARE, PLC


Address: 814 Sw Pine Island Rd, Suite 306, Cape Coral, FL 33991-1939
Phone: 2398290280

GULF COAST FAMILY CARE, PLC (NPI# 1750752424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750752424
Entity Type Organization
Organization Name GULF COAST FAMILY CARE, PLC
Practice Address 814 Sw Pine Island Rd
Suite 306
Cape Coral
FL 33991-1939
Practice Telephone 2398290280
Practice Fax Number 2398290315
Mailing Telephone 2398290280
Mailing Fax Number 2398290315
Enumeration Date 2015-10-07
Last Update Date 2015-10-07
Authorized Official Name DEBORAH WALKER (OWNER/NURSE PRACTITIONER)
Authorized Official Telephone 2398290280
Authorized Official Credential ARNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
ARNP 2617642 FL Physician Assistants & Advanced Practice Nursing Providers
Y 261QP2300X Clinic/Center
Specialization: Primary Care
ARNP 2617642 FL Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225442676 Gulf Coast Family Care, Plc Nurse Practitioner 814 Sw Pine Island Road, Suite 306, Cape Coral, FL 33991 2014-06-13

Office Location

Street Address 814 SW PINE ISLAND RD
SUITE 306
City CAPE CORAL
State FL
Zip Code 33991-1939

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City CAPE CORAL
Zip Code 33991

Improve Information

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Dataset Information

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.

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