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ENDOSCOPY CENTER OF GULF BREEZE LLC NPI 1386730950


NPI Information

NPI: 1386730950
Provider Name: ENDOSCOPY CENTER OF GULF BREEZE LLC

Doing Business As: GULF BREEZE ENDOSCOPY

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

Specialization: Ambulatory Surgical

CLIA Number: 10D0910644

Address:
1116 GULF BREEZE PARKWAY
GULF BREEZE, FL
ZIP 32561
Phone: (850) 934-4438
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ENDOSCOPY CENTER OF GULF BREEZE LLC is an ambulatory surgical clinic center in Gulf Breeze, FL. ENDOSCOPY CENTER OF GULF BREEZE LLC NPI is 1386730950. The provider is registered as an organization entity type.
The provider Is Doing Business As Gulf Breeze Endoscopy.

The provider's business location address is:

1116 GULF BREEZE PARKWAY
GULF BREEZE, FL
ZIP 32561
Phone: (850) 934-4438
Fax: (850) 934-4211

The provider's authorized official is Alice L Cartee .
The authorized official title is Administrator and has the following contact phone number (850) 474-8988.

The CLIA number assigned to this NPI record is 10D0910644 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 4/20/2008.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
16M1OTHERFLORIDABCBS OF FLORIDA
2987294OTHERUSA HEALTH NETWORK
37956778OTHERAETNA
49256246OTHERCIGNA
5=========OTHERTRICARE CHAMPUS
6P00326955OTHERRAILROAD MEDICARE
76M1OTHERHEALTH OPTIONS
8F1463MEDICARE PINFLORIDA

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.