GOLD COAST SURGERY CENTER LLC NPI 1295860302

NPI Information

NPI: 1295860302
Provider Name: GOLD COAST SURGERY CENTER LLC

Doing Business As: GULF COMPREHENSIVE SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1750 ENGLEWOOD RD
ENGLEWOOD, FL
ZIP 34223
Phone: (941) 681-3555
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GOLD COAST SURGERY CENTER LLC is an ambulatory surgical clinic center in Englewood, FL. GOLD COAST SURGERY CENTER LLC NPI is 1295860302. The provider is registered as an organization entity type.
The provider Is Doing Business As Gulf Comprehensive Surgery Center.

The provider's business location address is:

1750 ENGLEWOOD RD
ENGLEWOOD, FL
ZIP 34223-821
Phone: (941) 681-3555
Fax: (941) 681-3574

The provider's authorized official is Anthony Ditomaso .
The authorized official title is Medical Director and has the following contact phone number (941) 681-3555.

The CLIA number assigned to this NPI record is 10D1072319 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 6/2/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F1504	MEDICARE PIN	FLORIDA

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

NPI Synchronization or Removal

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