Gulf Coast Healthcare Systems, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Lehigh Acres, FL
NPI 1134497167 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1134497167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- GULF COAST HEALTHCARE SYSTEMS, INC
- Practice address
- 2724 5TH St W Ste B
Lehigh Acres, FL 33971-1581 - Phone
- (239) 325-1310
- Fax
- (888) 803-9101
- NPI assigned
- Dec 5, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Mickey Jones, DPT
- Title
- Ceo
- Phone
- (239) 694-9102
Corporate family (same tax ID) 2
Member of 1
Practitioners 17
-
Samia Akkouche, APRN, AGNP-C
-
Sandra L Allen, APRN FNP-C
-
Yaneidy Candelario, APRN
-
Jenny Garcia Dopico, NURSE PRACTITIONER
-
Laura C. Lemmenes, ARNP, DNP
-
Farrah Fawn Poling, ARNP
-
Adolfo Romero Martinez, ARNP
-
Axel Ruiz-Tellez, MD
-
Katie E Drake, D.O.
-
Edward L German III, M.D.
-
Rudolph Mickey Jones, PT, DPT, CBC, FNP-C
-
Thomas Dean Rawson, PA-C
-
Angelica M Robles Gonzalez, FNP-C
-
Marc Yallof, D.O.
National Provider Directory
- Tax ID family
- Gulf Coast Hlthcare Sys
Locations
2718 Lee Blvd
Ste C
Lehigh Acres, FL 33971
Phone (239) 303-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2724 5TH St W Ste B
Lehigh Acres, FL 33971-1581
Mailing address
2724 5TH St W Ste B
Lehigh Acres, FL 33971-1581
Phone (239) 325-1310
Other names
- Urgent and Convenient Care Center
Other providers in Lehigh Acres, FL
- Orelve Guerra
- Odilest Guerrier
- Ankush Gulati
- Gulf Coast Healthcare Center, Inc.
- Gulf Coast Healthcare Systems Inc
- Gulf Coast Healthcare Systems, Inc
- Gulf Coast Healthcare Systems, Inc.
- Patrick Gundy
- Dagmary Gutierrez Alonso
- Sandra Magaly Gutierrez Burgos
All providers in Lehigh Acres, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.