1578297123 NPI number — GULF COAST HEART AND VASCULAR LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578297123 NPI number — GULF COAST HEART AND VASCULAR LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GULF COAST HEART AND VASCULAR LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578297123
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2428 JENKS AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PANAMA CITY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32405-4304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-215-6008
Provider Business Mailing Address Fax Number:
850-215-6020

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2428 JENKS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PANAMA CITY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32405-4304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-696-3288
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/11/2022

Additional Information

Authorized Official

Authorized Official Last Name:
DYE
Authorized Official First Name:
DONNA
Authorized Official Middle Name:
JEAN
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
317-696-3288

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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