GULF COAST LIMB & BRACE NPI 1073535860

NPI Information

GULF COAST LIMB & BRACE is a durable medical equipment medical supplies in Gulfport, MS. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GULF COAST LIMB & BRACE NPI is 1073535860. The provider is registered as an organization entity type.

The provider's business location address is:

4420 15TH STREET
GULFPORT, MS
ZIP 39501-626
Phone: (228) 864-4512
Fax: (228) 864-5339

The provider's authorized official is Alberto L Alvarez .
The authorized official title is Owner and has the following contact phone number (228) 864-4512.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 4/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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