Gulf Coast Medical Associates LLC

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

Legal business name

GULF COAST MEDICAL ASSOCIATES LLC

Practice address

10201 Arcos Ave Ste 207
Estero, FL 33928-9461

Phone

(239) 301-0968

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

William Simmons

Title

Owner

Phone

(239) 994-0395

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ferdinand Louis Rios, MD

  • Sports Medicine (Family Medicine) Physician
  • Estero, FL
  • NPI 1710178280
  Medicare reassignment NPD
• Ehiliana Isabel Conde, NP

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1154911212
  NPD (past)

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1598504367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE STE 207",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE STE 207",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289461",
            "telephone_number": "239-301-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-994-0395"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Grinshteyn, APRN
• Barbara Carolyn Grogg, FNP
• Edward Eugene Grubbs Jr., BC-HIS
• Joanna Gualtieri, LMHC
• Gulf Coast Brain and Spine Center
• Gulfcoast Foot and Ankle Specialists LLC
• Gulfshore Pediatric Dentistry, P.a.
• Christina M Gunger, MPT
• Katherine Gutierrez, LMHC
• H&H Neyra LLC

• Sports Medicine (Preventive Medicine) Physician in Estero, FL
• Providers in Estero, FL by specialty
• Sports Medicine (Preventive Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.