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Contact Information

COMPREHENSIVE ORTHOPAEDICS OF THE GULF COAST, LLC
3298 SUMMIT BLVD STE 4
PENSACOLA, FL32503
 Phone: 850-492-7775
 Fax: 888-974-1051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE ORTHOPAEDICS OF THE GULF COAST, LLC

NPI # 1013452804
LBN Legal business name COMPREHENSIVE ORTHOPAEDICS OF THE GULF COAST, LLC
Authorized official JASON ROCHA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2017
Last updated 07/25/2018 - About 8 years ago
Identifiers
FL Medicaid 003141200
FL Other 7653620001 NCS-MEDICARE
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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