Active NPI
Gulf Coast Practitioners LLC
- Family Medicine Physician
- North Port, FL
National Provider Identifier
1063323665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GULF COAST PRACTITIONERS LLC
- Practice address
- 4501 Citizens Pkwy
North Port, FL 34288-6000 - Phone
- (941) 613-5311
- NPI assigned
- Sep 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Joseph Damato, PH.D
- Title
- Managing Partner
- Phone
- (813) 344-6293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4501 Citizens Pkwy
North Port, FL 34288-6000
Mailing address
5008 FL-64
Bradenton, FL 34208
Phone (813) 344-6293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1063323665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 FL-64",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34208",
"telephone_number": "813-344-6293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 CITIZENS PKWY",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342886000",
"telephone_number": "941-613-5311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST PRACTITIONERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-12",
"status": "A",
"authorized_official_last_name": "DAMATO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "813-344-6293",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Port, FL
- Gulf Breeze Behavior Analytic Services and Consultation LLC (Gulf Breeze ABA)
- Gulf Coast Behavioral Health LLC
- Gulf Coast Hma Physician Management LLC (Gulf Coast Medical Group North Port Primary Care)
- Gulf Coast Hma Physician Management LLC (GCMG-North Port)
- Gulf Coast Hma Physician Management LLC (GCMG-Eric Reintsema, MD)
- Lisa Beth Gussin, LMHC
- Brianna Gustafson
- Robert Gutierrez, D.O.
- Reyberto Guzman Elias, DMD
- Brandon Haarer, BS, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.