NPIMap

Organization Active NPI

Gulf Coast Infectious Disease

  • Infectious Disease Physician
  • Pensacola, FL
National Provider Identifier
1265992200
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
GULF COAST INFECTIOUS DISEASE
Practice address
2120 E Johnson Ave Ste 105
Pensacola, FL 32514-6091
Phone
(850) 549-4755
Fax
(850) 549-4760
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mrs. Amanda Marie Alvarado
Title
Office Manager
Phone
(850) 549-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

2120 E Johnson Ave Ste 105
Pensacola, FL 32514-6091

Mailing address

2120 E Johnson Ave Ste 105
Pensacola, FL 32514-6091
Phone (850) 549-4755

Other identifiers 1

IdentifierTypeStateIssuer
1538644257MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gulfcoastid@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2120 E Johnson Ave
Ste 105
Pensacola, FL 32514
Phone (850) 549-4755

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1265992200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE STE 105",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146091",
            "telephone_number": "850-549-4755",
            "fax_number": "850-549-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE STE 105",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146091",
            "telephone_number": "850-549-4755",
            "fax_number": "850-549-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST INFECTIOUS DISEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-549-4755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538644257",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gulfcoastid@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2120 E Johnson Ave Ste 105",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325146091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.