Organization Active NPI

Gulf Coast Palliative Care, Inc.

  • Specialist
  • Hudson, FL
National Provider Identifier
1316360258
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GULF COAST PALLIATIVE CARE, INC.
Practice address
12107 Majestic Blvd
Hudson, FL 34667-2455
Phone
(727) 863-7971
Fax
(727) 819-8571
NPI assigned
Jan 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Mr. Walter Richard Young
Title
Chief Finnacial Position
Phone
(727) 863-7971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

12107 Majestic Blvd
Hudson, FL 34667-2455

Mailing address

12107 Majestic Blvd
Hudson, FL 34667-2455
Phone (727) 863-7971

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1316360258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12107 MAJESTIC BLVD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346672455",
            "telephone_number": "727-863-7971",
            "fax_number": "727-819-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12107 MAJESTIC BLVD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346672455",
            "telephone_number": "727-863-7971",
            "fax_number": "727-819-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF FINNACIAL POSITION",
        "authorized_official_telephone_number": "727-863-7971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.