Gulf Coast Radiology Services LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME62306 Issued in FL

Legal business name

GULF COAST RADIOLOGY SERVICES LLC

Practice address

13731 Metropolis Ave
Fort Myers, FL 33912-7150

Phone

(239) 333-2484

NPI assigned

Mar 15, 2013

Last updated

Mar 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chaim Jay Margolin, MD

Title

Owner

Phone

(239) 333-2484

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1154662146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13731 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127150",
            "telephone_number": "239-333-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127150",
            "telephone_number": "239-333-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST RADIOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "MARGOLIN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-333-2484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME62306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME62306",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Medical Pharmacy Inc (Gulf Coast Medical Pharmacy)
• Gulf Coast Pharmacy Inc (ApothiCare 360)
• Gulf Coast Physicians Inc
• Gulf Coast Pmra LLC
• Gulf Coast Psychology, Inc
• Gulf Coast Therapy Services LLC
• Gulf Coast Wellness Center Inc
• Gulf Coast Wellness Institute Corp
• Gulf Medical Equipment Inc
• Gulf Shore Internal Medicine, P.a.

• Diagnostic Radiology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.