Gulfcoast Healthcare Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GULFCOAST HEALTHCARE GROUP LLC

Practice address

2721 Del Prado Blvd S Ste 250
Cape Coral, FL 33904-5710

Phone

(239) 574-5559

Fax

(239) 574-9454

NPI assigned

Mar 28, 2024

Last updated

Apr 5, 2024By 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

Larry Dean Johnson, DCNPI 1669448155

Title

President

Phone

(239) 574-5559

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Aaron Wohl, MD

  • Emergency Medicine Physician
  • Fort Myers, FL
  • NPI 1174636724
  Medicare reassignment Care Compare group NPD
• Suzanne Bryce Wohl, M.D.

  • Emergency Medicine Physician
  • Fort Myers, FL
  • NPI 1326338591
  Medicare reassignment Care Compare group NPD
• Larry Dean Johnson, DC

  • Neurology Chiropractor
  • Cape Coral, FL
  • NPI 1669448155

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1215788229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 DEL PRADO BLVD S STE 250",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045710",
            "telephone_number": "239-574-5559",
            "fax_number": "239-574-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 DEL PRADO BLVD S STE 250",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045710",
            "telephone_number": "239-574-5559",
            "fax_number": "239-574-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-574-5559",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Mua Physicians, LLC
• Gulf Coast Pharmacy Consultants
• Gulf Coast Village Home Health (Home Health by Gulf Coast Village)
• Gulf Home Health, Inc
• Gulf Med Pharmacy Inc
• Gulfshore Dermatology at Coralwood, PA
• Gulfside Living Healthcare Services, LLC
• Nisha Patel Gupta, PA-C
• Kristin Ann Gustin, APRN
• Yoandra Gutierrez Avila

• Family Medicine Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.