National Provider Identifier Database

GULF COAST PAIN CONSULTANTS LLC
Durable Medical Equipment & Medical Supplies

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient?s use in the home and that are usable for an extended period of time.


Contact Information

GULF COAST PAIN CONSULTANTS LLC
918 MAR WALT DR
FORT WALTON BEACH, FL32547-6706
Phone: 855-527-7246
Fax: 833-905-2461
Website:
Specialty Taxonomy Code
* Durable Medical Equipment & Medical Supplies 332B00000X
Interventional Pain Medicine 208VP0014X
Pain Medicine 2081P2900X
Pain Medicine 208VP0000X
Physical Medicine & Rehabilitation 208100000X

* Indicates primary specialty

NPI Profile & details for GULF COAST PAIN CONSULTANTS LLC

NPI Number 1083455299
Legal business name
LBN
GULF COAST PAIN CONSULTANTS LLC
Authorized official KACEY MONTGOMERY - (REGIONAL MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/03/2024
Last updated 06/03/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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