Gulf Coast Comprehensive Care LLP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME48779 Issued in FL

Legal business name

GULF COAST COMPREHENSIVE CARE LLP

Practice address

190 W Dearborn St
Englewood, FL 34223-3237

Phone

(941) 473-2913

Fax

(941) 473-9813

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 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. Todd R Chace, DO

Title

Vice President

Phone

(941) 473-2913

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1578733614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W DEARBORN ST",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233237",
            "telephone_number": "941-473-2913",
            "fax_number": "941-473-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W DEARBORN ST",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233237",
            "telephone_number": "941-473-2913",
            "fax_number": "941-473-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST COMPREHENSIVE CARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "CHACE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "941-473-2913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5249",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME48779",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME61249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gulf Comprehensive Gastroenterology

• Internal Medicine Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.