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Contact Information

GULF COAST HEALTH CARE SERVICES, INC.
153 CENTER RD
VENICE, FL34285-5572
 Phone: 941-408-8988
 Fax: 941-408-8846
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GULF COAST HEALTH CARE SERVICES INC · (Female)

NPI Number 1356355358
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2006
Last updated 01/21/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ARNP9276826
  • FL License # ARNP9295470
  • FL License # ME58216
  • FL License # ME97864
  • FL License # PY6161
  • FL License # SW10105
  • FL Medicaid 002809900
  • FL Medicaid 002809901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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