Gulfshore Surgical Associates PL

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME80817 Issued in FL

Legal business name

GULFSHORE SURGICAL ASSOCIATES PL

Practice address

8340 Collier Blvd
Suite #203
Naples, FL 34114

Phone

(239) 774-4275

Fax

(239) 774-4792

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Albert Antonio Titus, M.D.

Title

Owner

Phone

(239) 774-4275

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1821289042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 COLLIER BLVD",
            "address_2": "SUITE #203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34114",
            "telephone_number": "239-774-4275",
            "fax_number": "239-774-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 COLLIER BLVD",
            "address_2": "SUITE #203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34114",
            "telephone_number": "239-774-4275",
            "fax_number": "239-774-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSHORE SURGICAL ASSOCIATES PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-774-4275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME80817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35818",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259382300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulfshore Endoscopy Center LLC
• Gulfshore Oral Surgery, PA
• Gulfshore Pharmacy Inc.
• Gulfshore Primary Care LLC
• Gulfshore Private Home Care, LLC
• Gulfview Dental II PLC
• Gulfview Dental LLC
• Roscoe Scott Gulick, RPH
• Stanley Philip Gulin, MD
• Patricia E Gulley, R.N.

• Surgery Physician in Naples, FL
• Providers in Naples, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.