| Gulf Coast Health Care Services, Inc. | |
|
153 Center Rd Venice FL 34285-5572 | |
| (941) 408-8988 | |
| (941) 408-8846 |
| Full Name | Gulf Coast Health Care Services, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 153 Center Rd, Venice, Florida |
| Authorized Official Name and Position | Donald Craig Brimm (PRESIDENT) |
| Authorized Official Contact | 9413433033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Health Care Services, Inc. 1646 S Orange Ave Sarasota FL 34239-2036 Ph: (941) 343-3033 | Gulf Coast Health Care Services, Inc. 153 Center Rd Venice FL 34285-5572 Ph: (941) 408-8988 |
| NPI Number | 1356355358 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 01/21/2014 |
| Medicare PECOS PAC ID | 8729975347 |
|---|---|
| Medicare Enrollment ID | O20040301000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356355358 | NPI | - | NPPES |
| 002809900 | Medicaid | FL | |
| 002809901 | Medicaid | FL |
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