Gulf Coast Wellness Institute Corp

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GULF COAST WELLNESS INSTITUTE CORP

Practice address

6300 Corporate CT
Fort Myers, FL 33919

Phone

(239) 315-9734

NPI assigned

Nov 10, 2017

Organization subpart

No

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

Authorized official

Name

Isabel Horta

Title

Ceo

Phone

(239) 315-9734

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1669985743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 CORPORATE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193513",
            "telephone_number": "239-315-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 CORPORATE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33919",
            "telephone_number": "239-315-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST WELLNESS INSTITUTE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "HORTA",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-315-9734"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Pmra LLC
• Gulf Coast Psychology, Inc
• Gulf Coast Radiology Services LLC
• Gulf Coast Therapy Services LLC
• Gulf Coast Wellness Center Inc
• Gulf Medical Equipment Inc
• Gulf Shore Internal Medicine, P.a.
• Gulf-to-Bay Anesthesiology Associates LLC
• Gulfcoast MD PA
• Gulfcoast Spine Institute, LLC

• Gastroenterology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.