Gulfshore Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GULFSHORE PRIMARY CARE LLC

Practice address

1890 SW Health Pkwy Ste 100
Naples, FL 34109-0473

Phone

(239) 207-8844

Fax

(207) 216-8902

NPI assigned

Jul 20, 2021

Last updated

Jul 20, 2021By 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

Michelle L Becker, MDNPI 1366557621

Title

Owner, Practicing Physician

Phone

(239) 207-8844

Specialties & licenses 2

Addresses

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.

• Michelle L Becker, M.D.

  • Family Medicine Physician
  • Naples, FL
  • NPI 1366557621
  NPD Authorized official

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1750954566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SW HEALTH PKWY STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090473",
            "telephone_number": "239-207-8844",
            "fax_number": "207-216-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SW HEALTH PKWY STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090473",
            "telephone_number": "239-207-8844",
            "fax_number": "207-216-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSHORE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PRACTICING PHYSICIAN",
        "authorized_official_telephone_number": "239-207-8844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulfcoast Pelvic Health and Wellness Center
• Gulfshore Anesthesia Services LLC
• Gulfshore Endoscopy Center LLC
• Gulfshore Oral Surgery, PA
• Gulfshore Pharmacy Inc. (Sunshine Pharmacy Downtown)
• Gulfshore Private Home Care, LLC
• Gulfshore Surgical Associates PL
• Gulfview Dental II PLC
• Gulfview Dental LLC
• Roscoe Scott Gulick, RPH

• Family Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.