| Gulf Coast Medical Care Pllc | |
|
2178 Mariner Blvd Spring Hill FL 34609-3859 | |
| (352) 556-4848 | |
| (352) 556-4849 |
| Full Name | Gulf Coast Medical Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2178 Mariner Blvd, Spring Hill, Florida |
| Authorized Official Name and Position | Jacques Louis Aristilde (OWNER) |
| Authorized Official Contact | 3525564848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Medical Care Pllc 2178 Mariner Blvd Spring Hill FL 34609-3859 Ph: (352) 556-4848 | Gulf Coast Medical Care Pllc 2178 Mariner Blvd Spring Hill FL 34609-3859 Ph: (352) 556-4848 |
| NPI Number | 1093962946 |
|---|---|
| Provider Enumeration Date | 08/22/2008 |
| Last Update Date | 10/28/2011 |
| Medicare PECOS PAC ID | 3375601511 |
|---|---|
| Medicare Enrollment ID | O20081016000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093962946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME101724 (Florida) | Primary |
| Provider Name | Jacques L Aristilde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104073055 PECOS PAC ID: 3476611617 Enrollment ID: I20081016000588 |
| Provider Name | Guesly Jerome Delva |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750562724 PECOS PAC ID: 1557523602 Enrollment ID: I20141118000670 |
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