Gulf Coast Audiology of Southwest Florida LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

AY1164 Issued in FL

Legal business name

GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA LLC

Doing business as

Gulf Coast Audiology

Practice address

8900 Gladiolus Dr
Suite 201
Fort Myers, FL 33908-4487

Phone

(239) 267-7888

Fax

(239) 267-0409

NPI assigned

May 2, 2008

Last updated

Jul 11, 2008By 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. Drianis Duran, AU.D.NPI 1548335813

Title

Audiologist/Owner

Phone

(239) 267-7888

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Gulf Coast Audiology Doing business as

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.

• Drianis Duran, AU.D.

  • Audiologist
  • Fort Myers, FL
  • NPI 1548335813
  Medicare reassignment NPD Authorized official
• Elizabeth Burns Miller, AU.D

  • Audiologist
  • Fort Myers, FL
  • NPI 1891344404
  NPD
• Samantha Beverly Kozakiewicz, AUD

  • Audiologist-Hearing Aid Fitter
  • Richmond, VA
  • NPI 1962120741
  NPD

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1306012067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 GLADIOLUS DR",
            "address_2": "SUITE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084487",
            "telephone_number": "239-267-7888",
            "fax_number": "239-267-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 GLADIOLUS DR",
            "address_2": "SUITE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084487",
            "telephone_number": "239-267-7888",
            "fax_number": "239-267-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "DRIANIS",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "239-267-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "AY1164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600507100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0140162",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1548335813",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "S9326",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01088308",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elaine Gulati
• Joseph Gulde, MD
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• Gulf Coast Accessibility Options
• Gulf Coast Accessibility Options LLC
• Gulf Coast Cardiothoracic Surgeons
• Gulf Coast Chiropractic PA
• Gulf Coast Complete Health Care
• Gulf Coast Health Centers Corp
• Gulf Coast Internal Medicine PA

• Hearing and Speech Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.