Organization Active NPI

Gulfcoast Surgical Assisting Inc

  • Surgical Physician Assistant
  • Dunedin, FL
National Provider Identifier
1285888461
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
GULFCOAST SURGICAL ASSISTING INC
Practice address
2024 Jefferson Ave
Dunedin, FL 34698-2613
Phone
(727) 734-1429
Fax
(727) 734-1429
NPI assigned
Nov 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Tony Brian Centracchio, PA
Title
Owner
Phone
(727) 734-1429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

2024 Jefferson Ave
Dunedin, FL 34698-2613

Mailing address

2024 Jefferson Ave
Dunedin, FL 34698-2613
Phone (727) 734-1429

National Provider Directory

National Provider Directory

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": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1285888461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 JEFFERSON AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982613",
            "telephone_number": "727-734-1429",
            "fax_number": "727-734-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 JEFFERSON AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982613",
            "telephone_number": "727-734-1429",
            "fax_number": "727-734-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST SURGICAL ASSISTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CENTRACCHIO",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-734-1429",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.