| Gulf Coast Primary Care Medical Group | |
|
333 Tamiami Trl S Suite 102 Venice FL 34285-2402 | |
| (941) 485-4858 | |
| (941) 485-5261 |
| Full Name | Gulf Coast Primary Care Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 333 Tamiami Trl S, Venice, Florida |
| Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Primary Care Medical Group 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | Gulf Coast Primary Care Medical Group 333 Tamiami Trl S Suite 102 Venice FL 34285-2402 Ph: (941) 485-4858 |
| NPI Number | 1679870901 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679870901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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