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GULFSHORE PERSONALIZED CARE LLC NPI 1184017238


NPI Information

NPI: 1184017238
Provider Name: GULFSHORE PERSONALIZED CARE LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 10D2093618

Address:
1250 S TAMIAMI TRL
STE 401
SARASOTA, FL
ZIP 34239
Phone: (941) 366-2194
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GULFSHORE PERSONALIZED CARE LLC is a cardiovascular disease internal medicine in Sarasota, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. GULFSHORE PERSONALIZED CARE LLC NPI is 1184017238. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1250 S TAMIAMI TRL
STE 401
SARASOTA, FL
ZIP 34239-221
Phone: (941) 366-2194
Fax: (941) 366-7025

The provider's authorized official is Matthew Cabrera .
The authorized official title is Business Manager and has the following contact phone number (941) 366-2194.

The CLIA number assigned to this NPI record is 10D2093618 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2015 and was last updated on 12/30/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseOS7384FLORIDAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OS7384OTHERFLORIDAMEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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