# GEMINI COASTAL LLC

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

## Provider details

- **NPI number:** 1215403571
- **Authorized official:** BARBARA M MADISON ARNP (NURSE PRACTITIONER)
- **Authorized official phone:** (352) 804-0938

## Contact information

- **Practice address:** 1431 SW 1ST AVE, OCALA, FL 34471-6500
- **Practice address phone:** (352) 804-0938
- **Mailing address:** PO BOX 1413, OCALA, FL 34478-1413
- **Mailing address phone:** (352) 804-0938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 04/25/2019
