| Gulf Coast Primary Care Plc | |
|
4807 Us Highway 19 Suite 201 New Port Richey FL 34652-4263 | |
| (727) 847-9505 | |
| (727) 847-9509 |
| Full Name | Gulf Coast Primary Care Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4807 Us Highway 19, New Port Richey, Florida |
| Authorized Official Name and Position | Udayabhasker Gangapuram Reddy (OWNER/PARTNER) |
| Authorized Official Contact | 7278479505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Primary Care Plc 4807 Us Highway 19 Ste 201 New Port Richey FL 34652-4260 Ph: (727) 847-9505 | Gulf Coast Primary Care Plc 4807 Us Highway 19 Suite 201 New Port Richey FL 34652-4263 Ph: (727) 847-9505 |
| NPI Number | 1184677551 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 06/10/2020 |
| Medicare PECOS PAC ID | 9739192188 |
|---|---|
| Medicare Enrollment ID | O20060801000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184677551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Florida) | Primary |
| Provider Name | Udayabhasker Gangapuram Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083660633 PECOS PAC ID: 3678586021 Enrollment ID: I20060901000005 |
| Provider Name | Rekha K Bhoomi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801800883 PECOS PAC ID: 8729162383 Enrollment ID: I20080221000297 |
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