Gulfmed Centers Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME0046011 Issued in FL

Legal business name

GULFMED CENTERS INC

Practice address

1869 S Tamiami TR
Venice, FL 34293

Phone

(941) 497-0377

Fax

(941) 497-0278

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Iraj Golzari, MDNPI 1689754426

Title

MD

Phone

(941) 497-0377

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Iraj Golzari, MD

  • General Practice Physician
  • Venice, FL
  • NPI 1689754426
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1669563045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 S TAMIAMI TR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34293",
            "telephone_number": "941-497-0377",
            "fax_number": "941-497-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 S TAMIAMI TR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34293",
            "telephone_number": "941-497-0377",
            "fax_number": "941-497-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFMED CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "GOLZARI",
        "authorized_official_first_name": "IRAJ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "941-497-0377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0046011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2065681",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "0100-6372",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN4296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Hma Physician Management LLC
• Gulf Coast Orthotics & Prosthetics Center, LLC
• Gulf Coast Pediatrics of Sarasota, PA-C
• Gulf Coast Scripts LLC
• Gulf Coast Senior Care Inc
• James Joseph Gulick, DC
• Jessica Ann Gunderson, APRN
• Susan Guthrie, ARNP
• Liliana Gutierrez, M.D.
• Javier Z. Guzman, MD

• General Practice Physician in Venice, FL
• Providers in Venice, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.