GULF COAST RETINA ASSOCIATES, LLC; NPI #1780724112

Contact Information

GULF COAST RETINA ASSOCIATES, LLC

2055 LITTLE RD
TRINITY, FL 34655

Phone: 727-862-3090
Fax: 727-862-3023
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Retina Specialist	207WX0107X	18	Physician/Ophthalmology

Indicates primary specialty

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NPI Profile & details for GULF COAST RETINA ASSOCIATES, LLC

NPI # 1780724112

LBN Legal business name GULF COAST RETINA ASSOCIATES, LLC

Authorized official DOUG DAVIS - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/07/2007

Last updated 11/02/2018 - About 8 years ago

Identifiers

FL	License #	ME68907
FL	Medicaid	379522500

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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GULF COAST RETINA ASSOCIATES, LLC

Contact Information

Specialty

Retina Specialist

NPI Profile & details for GULF COAST RETINA ASSOCIATES, LLC

Reviews for GULF COAST RETINA ASSOCIATES, LLC