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Organization
ENDOSCOPY CENTER OF GULF BREEZE LLC
Active
Organization
ENDOSCOPY CENTER OF GULF BREEZE LLC
Active
Other names
Gulf Breeze Endoscopy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE L CARTEE (ADMINISTRATOR)
(850) 474-8988
Entity
Organization
Contact information
Practice address
1116 GULF BREEZE PARKWAY, GULF BREEZE, FL 32561
(850) 934-4438
(850) 934-4211
Mailing address
1116 GULF BREEZE PARKWAY, GULF BREEZE, FL 32561
(850) 934-4438
(850) 934-4211
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6M1
BCBS OF FLORIDA
FL
01
—
6M1
HEALTH OPTIONS
—
01
—
7956778
AETNA
—
01
—
9256246
CIGNA
—
01
—
987294
USA HEALTH NETWORK
—
01
—
P00326955
RAILROAD MEDICARE
—
Enumeration date
10/04/2006
Last updated
04/20/2008
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