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GULF COAST SURGICAL ONCOLOGY PL NPI 1912330416


NPI Information

NPI: 1912330416
Provider Name: GULF COAST SURGICAL ONCOLOGY PL
Classification: Surgery - 2086X0206X
Entity Type: Organization

Specialization: Surgical Oncology

Address:
730 BAYFRONT PKWY STE 5A
PENSACOLA, FL
ZIP 32502
Phone: (850) 432-5488
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GULF COAST SURGICAL ONCOLOGY PL is a surgical oncology surgery in Pensacola, FL. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. GULF COAST SURGICAL ONCOLOGY PL NPI is 1912330416. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

730 BAYFRONT PKWY STE 5A
PENSACOLA, FL
ZIP 32502-250
Phone: (850) 432-5488
Fax: (850) 432-5228

The provider's authorized official is Leonardo Villegas .
The authorized official title is Owner and has the following contact phone number (850) 293-6979.

The enumeration date for this NPI number is 8/20/2013 and was last updated on 12/18/2018.


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
12086X0206XSurgerySurgical OncologyYes

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
1009686800MEDICAIDFLORIDA

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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