NPIMap

Organization Active NPI

Gulf Coast Injury Center, LLC

Doing business as Gulf Coast Injury Center

  • Health Service Clinic/Center
  • Tampa, FL
National Provider Identifier
1598003253
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC4126 Issued in FL
Legal business name
GULF COAST INJURY CENTER, LLC
Doing business as
Gulf Coast Injury Center
Practice address
1104 W Kennedy Blvd
Tampa, FL 33606-1966
Phone
(813) 258-6051
Fax
(813) 258-6064
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Mr. Scott R Drummond
Title
Ceo/Founder
Phone
(813) 258-6051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC4126 FL Primary

Addresses

Primary practice location

1104 W Kennedy Blvd
Tampa, FL 33606-1966

Mailing address

1104 W Kennedy Blvd
Tampa, FL 33606-1966
Phone (813) 258-6051

Other names 1

  • Gulf Coast Injury Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Injury Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1598003253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061966",
            "telephone_number": "813-258-6051",
            "fax_number": "813-258-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061966",
            "telephone_number": "813-258-6051",
            "fax_number": "813-258-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "813-258-6051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC4126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.