Gulf Coast Retina Associates, Llc in Trinity - Retina Specialist
Gulf Coast Retina Associates, Llc - NPI 1780724112
Gulf Coast Retina Associates, Llc is a Retina Specialist in Trinity, Florida. Gulf Coast Retina Associates, Llc practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Gulf Coast Retina Associates, Llc is 1780724112. The last update date is 2018-11-02.
Gulf Coast Retina Associates, Llc's current location address is 2055 Little Rd, Trinity, Florida. You can contact this provider via phone number 7278623090 and fax number 7278623023. The mailing address for Gulf Coast Retina Associates, Llc is 2055 Little Rd, Trinity, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gulf Coast Retina Associates, Llc |
|---|---|
| Address | 2055 Little Rd, Trinity, Florida |
| Phone Number | 7278623090 |
| Fax Number | 7278623023 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Davis Doug |
| Telephone Number | 7278623090 |
NPI Number Detail
| NPI Number | 1780724112 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2018-11-02 |
Provider Mailing Address Detail
| Address | 2055 Little Rd |
|---|---|
| City | Trinity |
| State | Florida (FL) |
| Post Code | 346554421 |
| Phone Number | 7278623090 |
| Fax Number | 7278623023 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | ME68907 |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 379522500 | FL | -- |
Post Comment/ Review Below
What is the Gulf Coast Retina Associates, Llc's unique identification number?
The Gulf Coast Retina Associates, Llc has been assigned the NPI (National Provider Identifier) Number 1780724112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Gulf Coast Retina Associates, Llc?
The Gulf Coast Retina Associates, Llc is situated at 2055 Little Rd, in the city of Trinity, state of FL, with the zip code 346554421.
What is Gulf Coast Retina Associates, Llc's area of expertise and its corresponding taxonomy classification?
The Gulf Coast Retina Associates, Llc's field of specialization is Retina Specialist, and it falls under the taxonomy code 207Wx0107X, which categorizes healthcare providers based on their areas of practice.
On what date did the Gulf Coast Retina Associates, Llc receive the assignment of its 1780724112 from the Centers for Medicare & Medicaid Services?
The Gulf Coast Retina Associates, Llc was issued its 1780724112 by the Centers for Medicare & Medicaid Services on 2007-02-07.
When was the information regarding Gulf Coast Retina Associates, Llc most recently updated?
The details pertaining to the Gulf Coast Retina Associates, Llc, including its address, specialty, and other relevant information, were last refreshed on 2018-11-02.