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.
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 |
| NPI Number | 1306587241 |
| LBN Legal business name | GULF COAST PAIN CONSULTANTS LLC |
| Authorized official | KACEY MONTGOMERY - (REGIONAL MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/05/2022 |
| Last updated | 02/15/2024 - About 2 years ago |
| Identifiers | n/a |
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GULF COAST PAIN CONSULTANTS LLC
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