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GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA LLC NPI 1306012067


NPI Information

NPI: 1306012067
Provider Name: GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA LLC

Doing Business As: GULF COAST AUDIOLOGY

Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
8900 GLADIOLUS DR
SUITE 201
FORT MYERS, FL
ZIP 33908
Phone: (239) 267-7888
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GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA LLC is a hearing and speech clinic center in Fort Myers, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA LLC NPI is 1306012067. The provider is registered as an organization entity type.
The provider Is Doing Business As Gulf Coast Audiology.

The provider's business location address is:

8900 GLADIOLUS DR
SUITE 201
FORT MYERS, FL
ZIP 33908-487
Phone: (239) 267-7888
Fax: (239) 267-0409

The provider's authorized official is Drianis Duran .
The authorized official title is Audiologist/owner and has the following contact phone number (239) 267-7888.

The enumeration date for this NPI number is 5/2/2008 and was last updated on 7/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0700XClinic/CenterHearing and SpeechAY1164FLORIDAYes

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
10140162OTHERGHI
2S9326OTHERBCBS
3600507100MEDICAIDFLORIDA
4AB869ZMEDICARE PIN
501088308OTHERAMERIGROUP
61548335813OTHERTRICARE

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

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