Gulfside Health & Rehab

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH 8790 Issued in FL

Legal business name

GULFSIDE HEALTH & REHAB

Practice address

8316 Hanley Rd
Ste 1-2
Tampa, FL 33634-2284

Phone

(813) 890-7246

NPI assigned

Oct 15, 2009

Organization subpart

No

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

Authorized official

Name

Stephen Diamantides

Title

Owner

Phone

(813) 890-7246

Specialties & licenses 1

Addresses

Tax ID family

Gulfside Health Rehab2 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.

• Gulfside Health & Rehab Center LLC

  • Chiropractor
  • Port Richey, FL
  • NPI 1619173663
  NPD tax ID

Locations

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1609101153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 HANLEY RD",
            "address_2": "STE 1-2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 HANLEY RD",
            "address_2": "STE 1-2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342284",
            "telephone_number": "813-890-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSIDE HEALTH & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "DIAMANTIDES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-890-7246"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH 8790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulfcoast Medical Solutions LLC
• Gulfcoast Spine Institute, LLC
• Gulfcoast Spine Institute, LLC
• Gulfcoast Spine Institute, LLC
• Gulfshore Pain & Wellness Centre
• Gregory Glenn Gulick, D.O.
• Laura Ann Gulick, APRN
• Elisabeth Gullett, OTR/L
• Amber Michelle Gum, PH.D.
• Kelsy Lyn Gumbert

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.