# GULFCARE, LLC DBA FEDOK PLASTIC SURGERY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073911236
- **Authorized official:** FREDERICK FEDOK MD (OWNER PRESIDENT)
- **Authorized official phone:** (251) 943-6003

## Contact information

- **Practice address:** 113 E FERN AVE, FOLEY, AL 36535-2806
- **Practice address phone:** (251) 943-6003
- **Practice address fax:** (251) 943-2429
- **Mailing address:** 113 E. FERN AVENUE, FOLEY, AL 36535
- **Mailing address phone:** (251) 943-6003
- **Mailing address fax:** (251) 943-2429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 15147 | AL | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | 15147 | AL | — |

## Other

- **Enumeration date:** 12/19/2014
- **Last updated:** 08/14/2017