GULFCOAST OB GYN PA NPI 1023126463

NPI Information

GULFCOAST OB GYN PA is an obstetrics gynecology in Saint Petersburg, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GULFCOAST OB GYN PA NPI is 1023126463. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6700 CROSSWINDS DR N
SUITE 200A
SAINT PETERSBURG, FL
ZIP 33710-602
Phone: (727) 344-4651
Fax: (727) 347-6224

The provider's authorized official is Romeo Acosta .
The authorized official title is President and has the following contact phone number (727) 344-4651.

The CLIA number assigned to this NPI record is 10D2275712 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2006 and was last updated on 12/6/2007.

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

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