Endoscopy Center of Gulf Breeze LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ENDOSCOPY CENTER OF GULF BREEZE LLC

Doing business as

Gulf Breeze Endoscopy

Practice address

1116 Gulf Breeze Parkway
Gulf Breeze, FL 32561

Phone

(850) 934-4438

Fax

(850) 934-4211

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Alice L Cartee

Title

Administrator

Phone

(850) 474-8988

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Gulf Breeze Endoscopy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Endoscopy Group LLC

  • Ambulatory Surgical Clinic/Center
  • Pensacola, FL
  • NPI 1003889346

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1386730950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 GULF BREEZE PARKWAY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "32561",
            "telephone_number": "850-934-4438",
            "fax_number": "850-934-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 GULF BREEZE PARKWAY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "32561",
            "telephone_number": "850-934-4438",
            "fax_number": "850-934-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF GULF BREEZE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CARTEE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-474-8988",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7956778",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9256246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA HEALTH NETWORK",
            "identifier": "987294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "6M1",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00326955",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH OPTIONS",
            "identifier": "6M1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Breeze Endoscopy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.