| Gulf Coast Medical Clinic, Llc | |
|
752 N Belcher Rd Clearwater FL 33765-2138 | |
| (727) 900-1326 | |
| (727) 954-6546 |
| Full Name | Gulf Coast Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 752 N Belcher Rd, Clearwater, Florida |
| Authorized Official Name and Position | Arianne Marie Byers (SOLE MEMBER) |
| Authorized Official Contact | 7279001326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Medical Clinic, Llc 752 N Belcher Rd Clearwater FL 33765-2138 Ph: (727) 900-1326 | Gulf Coast Medical Clinic, Llc 752 N Belcher Rd Clearwater FL 33765-2138 Ph: (727) 900-1326 |
| NPI Number | 1538933536 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 7911356803 |
|---|---|
| Medicare Enrollment ID | O20231218003760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538933536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Arianne M Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245822378 PECOS PAC ID: 9739571241 Enrollment ID: I20220113000184 |
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