Organization Active NPI

Gulf Coast Family Care, PLC

  • Primary Care Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1750752424
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ARNP 2617642 Issued in FL
Legal business name
GULF COAST FAMILY CARE, PLC
Practice address
814 SW Pine Island Rd
Suite 306
Cape Coral, FL 33991-1939
Phone
(239) 829-0280
Fax
(239) 829-0315
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Deborah Walker, ARNPNPI 1205959442
Title
Owner/Nurse Practitioner
Phone
(239) 829-0280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ARNP 2617642 FL Primary
Family Nurse Practitioner 363LF0000X ARNP 2617642 FL

Addresses

Primary practice location

814 SW Pine Island Rd
Suite 306
Cape Coral, FL 33991-1939

Mailing address

814 SW Pine Island Rd
Suite 306
Cape Coral, FL 33991-1939
Phone (239) 829-0280

National Provider Directory

National Provider Directory

Locations

814 SW Pine Island Rd
Ste 306
Cape Coral, FL 33991
Phone (239) 829-0280

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1750752424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SW PINE ISLAND RD",
            "address_2": "SUITE 306",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911939",
            "telephone_number": "239-829-0280",
            "fax_number": "239-829-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 SW PINE ISLAND RD",
            "address_2": "SUITE 306",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911939",
            "telephone_number": "239-829-0280",
            "fax_number": "239-829-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST FAMILY CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "239-829-0280",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ARNP 2617642",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2617642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.