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GULF COAST CHIROPRACTIC CENTER P.A. NPI 1689974925


NPI Information

NPI: 1689974925
Provider Name: GULF COAST CHIROPRACTIC CENTER, P.A.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2301 TAMIAMI TRL STE A
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 627-3711
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GULF COAST CHIROPRACTIC CENTER, P.A. is a chiropractor in Port Charlotte, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GULF COAST CHIROPRACTIC CENTER, P.A. NPI is 1689974925. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2301 TAMIAMI TRL STE A
PORT CHARLOTTE, FL
ZIP 33952-907
Phone: (941) 627-3711
Fax: (941) 627-0696

The provider's authorized official is Craig S Pogue .
The authorized official title is President and has the following contact phone number (941) 627-3711.

The enumeration date for this NPI number is 11/2/2010 and was last updated on 11/2/2010.


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
1111N00000XChiropractorCH10132FLORIDANo
2111N00000XChiropractorCH4487FLORIDAYes

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
1U25203MEDICARE UPINFLORIDA

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: 5/5/2024

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