Organization Active NPI

Gulfcoast Medical Supply Inc

  • Oxygen Equipment & Supplies (DME)
  • Clearwater, FL
National Provider Identifier
1316901259
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
32-04508 Issued in FL
Legal business name
GULFCOAST MEDICAL SUPPLY INC
Practice address
2455 N McMullen Booth Rd
Suite a
Clearwater, FL 33759-1358
Phone
(727) 791-7404
Fax
(727) 712-2220
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jon R Dodds
Title
President
Phone
(727) 791-7404

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HME 1411 FL
Oxygen Equipment & Supplies (DME) 332BX2000X 32-04508 FL Primary

Addresses

Primary practice location

2455 N McMullen Booth Rd
Suite a
Clearwater, FL 33759-1358

Mailing address

PO Box 16851
Clearwater, FL 33766-6851
Phone (727) 791-7404

National Provider Directory

National Provider Directory

Locations

2455 N McMullen Booth Rd
Ste A
Clearwater, FL 33759
Phone (727) 791-7404

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1316901259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16851",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337666851",
            "telephone_number": "727-791-7404",
            "fax_number": "727-712-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 N MCMULLEN BOOTH RD",
            "address_2": "SUITE A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591358",
            "telephone_number": "727-791-7404",
            "fax_number": "727-712-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-791-7404"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "HME 1411",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "32-04508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.