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 |
207LP2900X | 05 | Physician/Anesthesiology | |
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 | 1891354007 |
| LBN Legal business name | GULF COAST PAIN CONSULTANTS LLC |
| Authorized official | KACEY MONTGOMERY - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/11/2019 |
| Last updated | 01/27/2025 - More than a year ago |
| Identifiers | n/a |
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