Gulf Coast Medical Center | |
11528 Us Highway 19 Port Richey FL 34668-1442 | |
(727) 868-2151 | |
(727) 868-8251 |
Full Name | Gulf Coast Medical Center |
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Speciality | Family Medicine |
Location | 11528 Us Highway 19, Port Richey, Florida |
Authorized Official Name and Position | Michael S Strobbe (SENIOR) |
Authorized Official Contact | 7278682151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gulf Coast Medical Center 11528 Us Highway 19 Port Richey FL 34668-1442 Ph: (727) 868-2151 | Gulf Coast Medical Center 11528 Us Highway 19 Port Richey FL 34668-1442 Ph: (727) 868-2151 |
NPI Number | 1346244100 |
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Provider Enumeration Date | 06/09/2005 |
Last Update Date | 06/29/2022 |
Medicare PECOS PAC ID | 0143207530 |
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Medicare Enrollment ID | O20040714000085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346244100 | NPI | - | NPPES |
051552300 | Medicaid | FL | |
0072101 | Other | FL | GHI |
219008 | Other | FL | AVMED |
CC2311 | Other | FL | RAILROAD MEDICARE |
00160 | Other | FL | BLUE CROSS BLUE SHIELD FLORIDA |
051552302 | Medicaid | FL |
Provider Name | Steven M Strobbe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609870443 PECOS PAC ID: 4183611122 Enrollment ID: I20050110000203 |
Provider Name | Steven M Tidwell |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538149216 PECOS PAC ID: 2062444581 Enrollment ID: I20050907000233 |
Provider Name | Najib F Saba |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1710966791 PECOS PAC ID: 2062433238 Enrollment ID: I20051215000311 |
Provider Name | Michael S Strobbe |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437125002 PECOS PAC ID: 5395755797 Enrollment ID: I20060501000111 |
Provider Name | Amy M Strobbe |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801862487 PECOS PAC ID: 6901809698 Enrollment ID: I20060818000295 |
Provider Name | Nader H Chadda |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1225215064 PECOS PAC ID: 8325193576 Enrollment ID: I20090911000389 |
Provider Name | Kenneth A Wallace |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1295791754 PECOS PAC ID: 2365486420 Enrollment ID: I20090912000065 |
Provider Name | Dawn L Carroll |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275866808 PECOS PAC ID: 5991841264 Enrollment ID: I20090930000583 |
Provider Name | Richard Black |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1093798720 PECOS PAC ID: 4486553773 Enrollment ID: I20091031000017 |
Provider Name | Bernard Moye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386675635 PECOS PAC ID: 1153465000 Enrollment ID: I20100216000843 |
Provider Name | Ritchie R Plummer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285638023 PECOS PAC ID: 6608910864 Enrollment ID: I20100225000761 |
Provider Name | Douglas A Jordan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1518945500 PECOS PAC ID: 2365343654 Enrollment ID: I20100301000169 |
Provider Name | Edward A Capone |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396749131 PECOS PAC ID: 3274678362 Enrollment ID: I20100301000216 |
Provider Name | Nicholas D Strobbe |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679808612 PECOS PAC ID: 1951593805 Enrollment ID: I20101011000230 |
Provider Name | Jose Pascual |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1801896956 PECOS PAC ID: 6406034784 Enrollment ID: I20110711000481 |
Provider Name | Elliott Jay Wagner |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558312579 PECOS PAC ID: 7416856745 Enrollment ID: I20140730000096 |
Provider Name | Christine Michelle Fisher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174920896 PECOS PAC ID: 3072836733 Enrollment ID: I20150105000565 |
Provider Name | John Anthony Forcella |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1639317639 PECOS PAC ID: 5890837595 Enrollment ID: I20161118000884 |
Provider Name | Bradley S Ruch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700336781 PECOS PAC ID: 4385924406 Enrollment ID: I20181112001313 |
Provider Name | Steven L Shaver |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760832315 PECOS PAC ID: 9931492170 Enrollment ID: I20190607001584 |
Provider Name | Rajiv Goyal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710474671 PECOS PAC ID: 3971834516 Enrollment ID: I20210628003071 |
Provider Name | Daniela Alejandra Valarezo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003524950 PECOS PAC ID: 0749646859 Enrollment ID: I20230516001362 |
Provider Name | Alexander Davis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164983912 PECOS PAC ID: 1254662794 Enrollment ID: I20231214001440 |
Provider Name | Ambreen Mohamed |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1437443637 PECOS PAC ID: 4183944788 Enrollment ID: I20240119001344 |
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