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Organization
GULF COAST COMPREHENSIVE CARE LLP
Active
Organization
GULF COAST COMPREHENSIVE CARE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD R CHACE DO (VICE PRESIDENT)
(941) 473-2913
Entity
Organization
Contact information
Practice address
190 W DEARBORN ST, ENGLEWOOD, FL 34223-3237
(941) 473-2913
(941) 473-9813
Mailing address
190 W DEARBORN ST, ENGLEWOOD, FL 34223-3237
(941) 473-2913
(941) 473-9813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS5249
FL
207R00000X
Internal Medicine Physician
Primary
ME48779
FL
207RG0100X
Gastroenterology Physician
ME61249
FL
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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