Gulf Coast Medical Group

LBN: Gulf Coast Hma Physician Management Llc
Gulf Coast Medical Group is an health care organization with primary practice located at 1101 Tamiami Trl S Suite 101, Venice FL 34285-4133. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Gulf Coast Hma Physician Management Llc can be contacted via phone (941) 480-2831, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
1101 Tamiami Trl S Suite 101 Venice FL 34285-4133
Phone: (941) 480-2831
Fax: (941) 480-2820
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

Profile Details

NPI number 1407806094
LBN Legal business name Gulf Coast Hma Physician Management Llc
DBA Doing business as Gulf Coast Medical Group
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 12th, 2006
Last updated Mar 14th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407806094 NPPES
Florida Other 94784 BCBS GROUP PROVIDER NUMBE

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