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Organization
S M S DO PA
Active
Organization
S M S DO PA
Active
Other names
GULF COAST MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S STROBBE (SENIOR)
(727) 868-2151
Entity
Organization
Contact information
Practice address
11528 US HIGHWAY 19, PORT RICHEY, FL 34668-1442
(727) 868-2151
(727) 868-8251
Mailing address
11528 US HIGHWAY 19, PORT RICHEY, FL 34668-1442
(727) 868-2151
(727) 868-8251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
2084N0400X
Neurology Physician
—
—
208M00000X
Hospitalist Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
247100000X
Radiologic Technologist
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00160
BLUE CROSS BLUE SHIELD FLORIDA
FL
01
—
0072101
GHI
FL
05
—
051552300
—
FL
05
—
051552302
—
FL
01
—
219008
AVMED
FL
01
—
CC2311
RAILROAD MEDICARE
FL
Enumeration date
06/09/2005
Last updated
06/29/2022
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