Gulf Coast Surgical Group, LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

GULF COAST SURGICAL GROUP, LLC

Practice address

2439 Country Place Blvd
Suite 102
Trinity, FL 34655-1163

Phone

(727) 845-1662

Fax

(727) 264-8869

NPI assigned

Jan 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jared Conte Frattini, MD

Title

Ceo

Phone

(727) 845-1662

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1453593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1023475985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 COUNTRY PLACE BLVD",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551163",
            "telephone_number": "727-845-1662",
            "fax_number": "727-264-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 COUNTRY PLACE BLVD",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551163",
            "telephone_number": "727-845-1662",
            "fax_number": "727-264-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST SURGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-24",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "FRATTINI",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "CONTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-845-1662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kabir Singh Gumer
• Shannon Christie Gummoe, APRN
• Alana Gunderson, FNP-C
• Guqqi Acupuncture & Wellness Center, LLC
• Kate Guscette, PA-C

• All providers in Trinity, FL
• Colon & Rectal Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.