Gulf Coast Surgical Oncology PL

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

GULF COAST SURGICAL ONCOLOGY PL

Practice address

730 Bayfront Pkwy Ste 5a
Pensacola, FL 32502-6250

Phone

(850) 432-5488

Fax

(850) 432-5228

NPI assigned

Aug 20, 2013

Last updated

Dec 18, 2018By 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

Leonardo Villegas, MDNPI 1508934555

Title

Owner

Phone

(850) 293-6979

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Leonardo Villegas, M.D.

  • Surgical Oncology Physician
  • Pensacola, FL
  • NPI 1508934555
  Authorized official Same address or phone

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1912330416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BAYFRONT PKWY STE 5A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026250",
            "telephone_number": "850-432-5488",
            "fax_number": "850-432-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BAYFRONT PKWY STE 5A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026250",
            "telephone_number": "850-432-5488",
            "fax_number": "850-432-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST SURGICAL ONCOLOGY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-293-6979",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009686800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Pelvic Health LLC
• Gulf Coast Plastic Surgery Center, LLC
• Gulf Coast Podiatry of Northwest Florida PA
• Gulf Coast Radiation and Radiosurgery, LLC
• Gulf Coast Speech Language Services, PLLC
• Gulf Coast Therapy and Counseling, LLC
• Gulf Coast Therapy Group, LLC
• Gulf Dunes Eye Care LLC
• Gulf Islands Medical Imaging, LLC
• Gulf Medical Services, Inc.

• Surgical Oncology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Surgical Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.