GULF COAST HEALTHCARE SYSTEMS, INC (NPI# 1588075071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588075071 |
| Entity Type | Organization |
| Organization Name | GULF COAST HEALTHCARE SYSTEMS, INC |
| Other Organization Name | URGENT AND CONVENIENT CARE CENTER |
| Practice Address |
2718 Lee Blvd Ste B Lehigh Acres FL 33971-1537 |
| Practice Telephone | 2393039298 |
| Mailing Telephone | 2393039298 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Authorized Official Name | DR. RUDOLPH MICKEY JONES (CEO) |
| Authorized Official Telephone | 2393251310 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HCC | 5438 | 01 |
| Other Name | Type Code |
|---|---|
| Urgent and Convenient Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134497167 | Gulf Coast Healthcare Systems, Inc | Clinic/Center | 700 S Main St, Labelle, FL 33935-4440 | 2011-12-05 |
| Street Address |
2718 LEE BLVD STE B |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33971-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346337144 | Emlyn Louis | General Practice | 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971-1537 | 2006-10-05 |
| 1053951996 | Carolina Pavon | Family Medicine | 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971-1537 | 2020-01-08 |
| 1730739053 | Florida Best Primary Crae Services, LLC | Clinic/Center | 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971-1537 | 2019-09-18 |
| 1831574490 | Gulf Coast Healthcare Systems, Inc. | Clinic/Center | 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971-1537 | 2015-07-24 |
| 1700162468 | Best Care Community and Family Health Center Inc | Clinic/Center | 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971-1537 | 2011-10-26 |
| 1255412730 | Gulf Coast Healthcare Systems Inc | Chiropractor | 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971-1537 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248096 | Katie L Kozlowski | Behavior Technician | 5220 Lee Boulevard, Bldg 6, Lehigh Acres, FL 33971 | 2020-08-31 |
| 1548821481 | Rosario Assisted Living Facility, Inc | Assisted Living Facility | 2616 22nd St W, Lehigh Acres, FL 33971 | 2019-06-21 |
| 1790340362 | Delia Hernandez | Behavior Technician | 2519 39th Street West, Lehigh Acres, FL 33971 | 2019-05-08 |
| 1669981122 | Ana Claudia Dormann | Specialist/Technologist | 5598 8th St West, Unit 3, Lehigh Acres, FL 33971 | 2017-09-27 |
| 1871803551 | The Joan of Arc Corporation | Day Training, Developmentally Disabled Services | 2618 44th Street West, Lehigh Acres, FL 33971 | 2010-10-15 |
| 1396970737 | Total Renal Care Inc | Clinic/Center | 5705 Lee Blvd Ste 16, Lehigh Acres, FL 33971 | 2009-05-28 |
| 1700039658 | Friendly Group Home Inc. | Day Training, Developmentally Disabled Services | 2602 50th Street West, Lehigh Acres, FL 33971 | 2008-10-23 |
| 1336266485 | Marjorie St.germain | Social Worker | 3709 9th Street Sw, Lehigh Acres, FL 33971 | 2007-03-23 |
| 1194841767 | Stanley Paul Blair | Dentist | 3003 Lee Blvd, Lehigh Acres, FL 33971 | 2007-03-22 |
| 1770652711 | Alan E Spinner | Chiropractor | 2718 Lee Boulevard, Suite C, Lehigh Acres, FL 33971 | 2006-11-06 |
| Find all providers in zip 33971 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | LEHIGH ACRES |
| Zip Code | 33971 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.