Gulf Coast Certified Primary Care PA

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

OS8523 Issued in FL

Legal business name

GULF COAST CERTIFIED PRIMARY CARE PA

Practice address

3384 Woods Edge Cir Ste 103
Bonita Springs, FL 34134-1367

Phone

(239) 498-5760

Fax

(239) 498-5763

NPI assigned

May 30, 2007

Last updated

Jun 3, 2011By 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. Scott H Jaffe, D.O.NPI 1780618561

Title

President

Phone

(239) 498-5760

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Scott H Jaffe, M.D

  • Family Medicine Physician
  • Bonita Springs, FL
  • NPI 1780618561
  Authorized official Same address or phone

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1275734816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 WOODS EDGE CIR STE 103",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341367",
            "telephone_number": "239-498-5760",
            "fax_number": "239-498-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3384 WOODS EDGE CIR STE 103",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341367",
            "telephone_number": "239-498-5760",
            "fax_number": "239-498-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST CERTIFIED PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-498-5760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "OS8523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giuseppe Guaitoli, M.D.
• Guardian Orthotics Care, LLC
• Adam Paul Guiliano, D.P.T.
• Guillermo Narvarte Inc
• Guillot Enterprises LLC (Audibel Hearing and Audiology Centers)
• Gulfcoast Foot and Ankle Center
• Gulfshore Urology LLC
• Gulfside Chiropractic Health Center
• David Martin Gulotte, DMD
• Alberto Gutierrez Lopez, ARNP

• Health Maintenance Organization in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.