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Organization

GULFCOAST MEDICAL &GERIATRIC CARE INC

Active
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Organization

GULFCOAST MEDICAL &GERIATRIC CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANDKISHOR SHAH M.D. (SECRETARY)
(727) 347-2780
Entity
Organization

Contact information

Practice address
6450 38TH AVE N, SUITE # 100, ST PETERSBURG, FL 33710-1645
(727) 347-2780
(727) 347-5508
Mailing address
6450 38TH AVE N, SUITE # 100, ST PETERSBURG, FL 33710-1645
(727) 347-2780
(727) 347-5508

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
04/04/2007
Last updated
08/27/2007
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