Gulf Coast Laser Florida, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GULF COAST LASER FLORIDA, LLC

Practice address

800 Ocala Rd
#300-346
Tallahassee, FL 32304-1669

Phone

(520) 547-4130

Fax

(520) 258-0304

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Chris Gleason

Title

Ceo

Phone

(520) 323-8732

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1487832408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 E SPEEDWAY BLVD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101147",
            "telephone_number": "520-323-8732",
            "fax_number": "520-547-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OCALA RD",
            "address_2": "#300-346",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041669",
            "telephone_number": "520-547-4130",
            "fax_number": "520-258-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST LASER FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-323-8732"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma De la Caridad Guilarte
• Marie Hume Guilford, PH.D.
• Ann Elizabeth Guillen, PHARMD
• Guillot Enterprises, LLC
• Valeria A Guillou
• Gulf Coast Laser West, LLC
• Gulf Coast Laser, LLC
• Gulf Coast Therapy Associates Inc.
• Gulf Wind Counseling LLC
• Renu Gulve, PA-C

• Ambulatory Surgical Clinic/Center in Tallahassee, FL
• Providers in Tallahassee, 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 Jun 4, 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.