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GULF COAST PMRA LLC NPI 1013502285


NPI Information

NPI: 1013502285
Provider Name: GULF COAST PMRA LLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
5166 PIMLICO LN UNIT 302
FORT MYERS, FL
ZIP 33966
Phone: (727) 900-1326
Get Directions

GULF COAST PMRA LLC is a pain medicine physical medicine rehabilitation in Fort Myers, FL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. GULF COAST PMRA LLC NPI is 1013502285. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5166 PIMLICO LN UNIT 302
FORT MYERS, FL
ZIP 33966-578
Phone: (727) 900-1326
Fax: (727) 954-6546

The provider's authorized official is Ronald Dean Bates .
The authorized official title is Billing Mnager and has the following contact phone number (727) 900-1326.

The enumeration date for this NPI number is 3/9/2021 and was last updated on 3/15/2021.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

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
164098OTHERFLORIDAFLORIDA BLUE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.