Gulf Coast Healthcare Systems Inc | |
2718 Lee Blvd Ste B, Lehigh Acres, FL 33971-1537 | |
(239) 325-1310 | |
(239) 694-9101 |
Full Name | Gulf Coast Healthcare Systems Inc |
---|---|
Type | Facility |
Speciality | Specialist |
Location | 2718 Lee Blvd Ste B, Lehigh Acres, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255412730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH4515 (Florida) | Secondary |
174400000X | Specialist | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | ME92874 (Florida) | Secondary |
Provider Name | Axel Ruiz-tellez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184671034 PECOS PAC ID: 2466449541 Enrollment ID: I20040429000863 |
Provider Name | Frank M Finch |
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Provider Type | Practitioner - Physician Assistant |
Provider Identifiers | NPI Number: 1659340123 PECOS PAC ID: 0840257705 Enrollment ID: I20041213000908 |
Provider Name | Laura C Lemmenes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750482592 PECOS PAC ID: 6901064732 Enrollment ID: I20150224001044 |
Provider Name | Adolfo Romero Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376857904 PECOS PAC ID: 4486934841 Enrollment ID: I20161201001313 |
Provider Name | Farrah Fawn Poling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780114090 PECOS PAC ID: 5294088704 Enrollment ID: I20181031001284 |
Provider Name | Samia Akkouche |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316533367 PECOS PAC ID: 3173926078 Enrollment ID: I20210729003661 |
Provider Name | Jenny Garcia Dopico |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699282004 PECOS PAC ID: 0244634954 Enrollment ID: I20210803001309 |
Provider Name | Sandra L Allen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003475377 PECOS PAC ID: 1355749771 Enrollment ID: I20211014001914 |
Provider Name | Yaneidy Candelario |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790467280 PECOS PAC ID: 8224472220 Enrollment ID: I20240219000274 |
Mailing Address | Practice Location Address |
---|---|
Gulf Coast Healthcare Systems Inc 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971-1537 Ph: (239) 325-1210 | Gulf Coast Healthcare Systems Inc 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971-1537 Ph: (239) 325-1310 |