Gulf Coast Radiation and Radiosurgery, LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

ME108535 Issued in FL

Legal business name

GULF COAST RADIATION AND RADIOSURGERY, LLC

Practice address

5151 N 9TH Ave
Pensacola, FL 32504-8721

Phone

(251) 626-1755

Fax

(251) 626-9355

NPI assigned

Apr 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Sawrie, MD

Title

President

Phone

(251) 626-1712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1063755239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29653 ANCHOR CROSS BLVD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269594",
            "telephone_number": "251-626-1712",
            "fax_number": "251-626-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048721",
            "telephone_number": "251-626-1755",
            "fax_number": "251-626-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST RADIATION AND RADIOSURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "SAWRIE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-626-1712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME108535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gulf Coast Speech Language Services, PLLC
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• Gulf Coast Therapy Group, LLC
• Gulf Dunes Eye Care LLC

• Radiation Oncology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.