| Gulfcoast Family Practice | |
|
202 Manatee Ave East Bradenton FL 34208 | |
| (941) 747-8272 | |
| Not Available |
| Full Name | Gulfcoast Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Manatee Ave East, Bradenton, Florida |
| Authorized Official Name and Position | Ahmad Sahebzamani (PRESIDENT) |
| Authorized Official Contact | 9417478272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulfcoast Family Practice 202 Manatee Ave East Bradenton FL 34208 Ph: (941) 747-8272 | Gulfcoast Family Practice 202 Manatee Ave East Bradenton FL 34208 Ph: (941) 747-8272 |
| NPI Number | 1811176910 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 10/25/2007 |
| Medicare PECOS PAC ID | 4284691403 |
|---|---|
| Medicare Enrollment ID | O20041220000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811176910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmad Sahebzamani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710052600 PECOS PAC ID: 4981696804 Enrollment ID: I20040331001564 |
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