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GULF COAST PAIN CONSULTANTS LLC NPI 1104278902


NPI Information

NPI: 1104278902
Provider Name: GULF COAST PAIN CONSULTANTS LLC

Doing Business As: CLEARWAY PAIN SOLUTIONS INSTITUTE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 10D2106854

Address:
3810 HIGHWAY 90
PACE, FL
ZIP 32571
Phone: (850) 484-4080
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GULF COAST PAIN CONSULTANTS LLC is a durable medical equipment medical supplies in Pace, FL. 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 PAIN CONSULTANTS LLC NPI is 1104278902. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clearway Pain Solutions Institute.

The provider's business location address is:

3810 HIGHWAY 90
PACE, FL
ZIP 32571-014
Phone: (850) 484-4080

The provider's authorized official is Kacey A Montgomery .
The authorized official title is Medical Director and has the following contact phone number (850) 791-6895.

The CLIA number assigned to this NPI record is 10D2106854 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2016 and was last updated on 1/31/2023.


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
1207LP2900XAnesthesiologyPain MedicineNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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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