| Gulf Coast Family Care, Plc | |
|
814 Sw Pine Island Rd Suite 306 Cape Coral FL 33991-1939 | |
| (239) 829-0280 | |
| (239) 829-0315 |
| Full Name | Gulf Coast Family Care, Plc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 814 Sw Pine Island Rd, Cape Coral, Florida |
| Authorized Official Name and Position | Deborah Walker (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 2398290280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Family Care, Plc 814 Sw Pine Island Rd Suite 306 Cape Coral FL 33991-1939 Ph: (239) 829-0280 | Gulf Coast Family Care, Plc 814 Sw Pine Island Rd Suite 306 Cape Coral FL 33991-1939 Ph: (239) 829-0280 |
| NPI Number | 1750752424 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750752424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ARNP 2617642 (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | ARNP 2617642 (Florida) | Secondary |
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