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Contact Information

GULF COAST VASCULAR CARE, LLC
14219 COOK RD
BILOXI, MS39532-9719
 Phone: 228-207-0810
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for GULF COAST VASCULAR CARE, LLC

NPI # 1043825540
LBN Legal business name GULF COAST VASCULAR CARE, LLC
Authorized official KEVIN GARDNER - (OPERATIONS OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2020
Last updated 09/11/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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