# GULF COAST VEIN AND WOUND CARE SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1538018262
- **Authorized official:** TAMMY PAULLIN ARNP (CEO)
- **Authorized official phone:** (904) 434-0739

## Contact information

- **Practice address:** 2146 VINDALE RD, TAVARES, FL 32778-5602
- **Practice address phone:** (352) 414-5987
- **Mailing address:** 13 CROSSANDRA DR, HOMOSASSA, FL 34446-8416
- **Mailing address phone:** (352) 414-5987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2026
- **Last updated:** 09/30/2026