# GULFSIDE BEHAVIORAL CARE NP INC

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

## Provider details

- **NPI number:** 1659768950
- **Authorized official:** CATHERINE I MCDERMOTT ARNP (OWNER)
- **Authorized official phone:** (860) 250-4522

## Contact information

- **Practice address:** 3902 E STATE ROAD 64, BRADENTON, FL 34208-9059
- **Practice address phone:** (941) 756-1200
- **Practice address fax:** (941) 739-9358
- **Mailing address:** 3902 E STATE ROAD 64, BRADENTON, FL 34208-9059
- **Mailing address phone:** (941) 756-1200
- **Mailing address fax:** (941) 739-9358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2015
- **Last updated:** 02/10/2023