# GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.

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

## Provider details

- **NPI number:** 1316156722
- **Authorized official:** LORIS DIXON (CFO)
- **Authorized official phone:** (727) 479-1800

## Contact information

- **Practice address:** 225 W BUSCH BLVD, \#200, TAMPA, FL 33612-7945
- **Practice address phone:** (727) 450-7269
- **Practice address fax:** (727) 479-1248
- **Mailing address:** 14041 ICOT BLVD, CLEARWATER, FL 33760-3702
- **Mailing address phone:** (727) 450-7269
- **Mailing address fax:** (727) 479-1248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 09/24/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 029915401 | — | FL |