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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 Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for GULF COAST PAIN CONSULTANTS LLC

NPI Number 1083455299
LBN Legal business name GULF COAST PAIN CONSULTANTS LLC
Authorized official KACEY MONTGOMERY - (REGIONAL MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/03/2024
Last updated 06/03/2024 - About 2 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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