Gulf Coast Chiropractic Center, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH4487 Issued in FL

Legal business name

GULF COAST CHIROPRACTIC CENTER, P.A.

Practice address

2301 Tamiami TRL Ste a
Port Charlotte, FL 33952-3907

Phone

(941) 627-3711

Fax

(941) 627-0696

NPI assigned

Nov 2, 2010

Last updated

Nov 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig S Pogue, D.C.NPI 1124058904

Title

President

Phone

(941) 627-3711

Specialties & licenses 2

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, and the practitioner matching its NPPES authorized official.

• Joshua Andrew Imig, D.C.

  • Chiropractor
  • Port Charlotte, FL
  • NPI 1881994622
  Medicare reassignment
• Craig S Pogue, D.C.

  • Chiropractor
  • Port Charlotte, FL
  • NPI 1124058904
  Authorized official Same address or phone

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1689974925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523907",
            "telephone_number": "941-627-3711",
            "fax_number": "941-627-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523907",
            "telephone_number": "941-627-3711",
            "fax_number": "941-627-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "POGUE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-627-3711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10132",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leann Guerra, AP, DOM
• Daniel Guggino, LMHC
• Gulf Coast Allergy Center PA
• Gulf Coast Anesthesia Associates Inc
• Gulf Coast Anesthesia Inc.
• Gulf Coast Emergency Physicians PA
• Gulf Coast Hearing Aid Centers Inc.
• Gulf Coast Knee Scooter
• Gulf Coast Orthotics & Prosthetics Center, LLC
• Gulf Coast Pulmonary Medicine

• Chiropractor in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.