Organization Active NPI

Gulfshore Personalized Care LLC

  • Cardiovascular Disease Physician
  • Sarasota, FL
National Provider Identifier
1184017238
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS7384 Issued in FL
Legal business name
GULFSHORE PERSONALIZED CARE LLC
Practice address
1250 S Tamiami TRL Ste 401
Sarasota, FL 34239-2221
Phone
(941) 366-2194
Fax
(877) 620-5910
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Mr. Matthew Cabrera
Title
Business Manager
Phone
(941) 366-2194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X OS7384 FL Primary

Addresses

Primary practice location

1250 S Tamiami TRL Ste 401
Sarasota, FL 34239-2221

Mailing address

1250 S Tamiami TRL
Ste 401
Sarasota, FL 34239-2221
Phone (941) 366-2194

Other identifiers 1

IdentifierTypeStateIssuer
OS7384OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150624003155 FL Part B Supplier - Clinic/Group Practice 8628389103 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2093618Gulfshore Personalized Care LLC1250 S Tamiami TRL Ste 401, Sarasota, FL 34239Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Locations

1250 S Tamiami Trl
Ste 401
Sarasota, FL 34239
Phone (941) 366-2194

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1184017238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL",
            "address_2": "STE 401",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-366-2194",
            "fax_number": "877-620-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL STE 401",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-366-2194",
            "fax_number": "877-620-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSHORE PERSONALIZED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "941-366-2194",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS7384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS7384",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.