Active NPI
Gulfcoast Surgical Assisting, LLC
- Orthopaedic Surgery Physician
- Dunedin, FL
National Provider Identifier
1063981355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- GULFCOAST SURGICAL ASSISTING, LLC
- Practice address
- 2024 Jefferson Ave
Dunedin, FL 34698-2613 - Phone
- (727) 215-5197
- NPI assigned
- Nov 16, 2018
- Last updated
- Nov 16, 2018
- 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
- Mr. Anthony B Centracchio, PA-C
- Title
- Physician Assistant
- Phone
- (727) 215-5197
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
2024 Jefferson Ave
Dunedin, FL 34698-2613
Mailing address
2024 Jefferson Ave
Dunedin, FL 34698-2613
Phone (727) 215-5197
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Sarasota, FL
- NPI 1639191539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542326400000",
"number": "1063981355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 JEFFERSON AVE",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346982613",
"telephone_number": "727-215-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 JEFFERSON AVE",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346982613",
"telephone_number": "727-215-5197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULFCOAST SURGICAL ASSISTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A",
"authorized_official_last_name": "CENTRACCHIO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "727-215-5197",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunedin, FL
- Guidewell Emergency Medicine Doctors, LLC (GuideWell Emergency Medicine Imaging)
- Gulf Coast Dialysis Center Inc
- Gulf Coast Therapy Connection, PLLC.
- Gulfcoast Anesthesia Associates LLC
- Gulfcoast Surgical Assisting Inc
- Gale Alice Guthrie, LPN
- Ana Denise Gutierrez, LMHC
- Edward Cereceda Gutierrez
- GV Dunedin, LLC (Grand Villa of Dunedin)
- David Haddad
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.