Gulf Coast Holistic and Primary Care Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ACN244 Issued in FL

Legal business name

GULF COAST HOLISTIC AND PRIMARY CARE INC

Practice address

756 Harrison Ave
Panama City, FL 32401-2524

Phone

(850) 640-1530

Fax

(850) 640-1630

NPI assigned

Jun 17, 2014

Last updated

Jun 17, 2014By 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

Dr. Raquel Skidmore, MD

Title

Medical Director

Phone

(850) 640-1530

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1205240363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012524",
            "telephone_number": "850-640-1530",
            "fax_number": "850-640-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012524",
            "telephone_number": "850-640-1530",
            "fax_number": "850-640-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST HOLISTIC AND PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "SKIDMORE",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-640-1530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ACN244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006732100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Counseling Services of Bay County
• Gulf Coast Health Care Associates LLC (Sea Breeze Health Care)
• Gulf Coast Hearing Centers, Inc.
• Gulf Coast Hearing LLC (Gulf Coast Hearing Centers)
• Gulf Coast Heart and Vascular LLC
• Gulf Coast Medical and Geriatric Clinic Inc
• Gulf Coast Medical Center Primary Care LLC
• Gulf Coast Medical Doctors
• Gulf Coast Multispeciality Services, LLC
• Gulf Coast Pain Consultants LLC (Clearway Pain Solutions Institute)

• Primary Care Clinic/Center in Panama City, FL
• Providers in Panama City, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.