Gulf Coast Pmra LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

GULF COAST PMRA LLC

Practice address

9369 Golden Rain LN
Fort Myers, FL 33967-5136

Phone

(727) 900-1326

Fax

(727) 954-6546

NPI assigned

Mar 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ronald Dean Dayton

Title

Billing Mnager

Phone

(727) 900-1326

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Violeta Fay Marie Calhoun, APRN

  • Acute Care Nurse Practitioner
  • Fort Myers, FL
  • NPI 1003160086

  Multi-Specialty

  Medicare reassignment NPD
• Robert D. Mehrberg, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fort Myers, FL
  • NPI 1659334050
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1013502285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61925",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339061925",
            "telephone_number": "727-900-1326",
            "fax_number": "727-954-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9369 GOLDEN RAIN LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675136",
            "telephone_number": "727-900-1326",
            "fax_number": "727-954-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PMRA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "DAYTON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "BILLING MNAGER",
        "authorized_official_telephone_number": "727-900-1326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "64098",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Health Centers Corp
• Gulf Coast Internal Medicine PA
• Gulf Coast Medical Pharmacy Inc
• Gulf Coast Pharmacy Inc
• Gulf Coast Physicians Inc
• Gulf Coast Psychology, Inc
• Gulf Coast Radiology Services LLC
• Gulf Coast Therapy Services LLC
• Gulf Coast Wellness Center Inc
• Gulf Coast Wellness Institute Corp

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.