# GULF COAST HEALTHCARE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GULF COAST HEALTHCARE SYSTEMS, INC.
- **Other names:** Gulf Coast Healthcare Systems, Gulf Coast Healthcare Systems, Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710586847
- **Legal business name:** GULF COAST HEALTHCARE SYSTEMS, INC.
- **Authorized official:** RUDOLPH MICKEY JONES (CEO)
- **Authorized official phone:** (239) 694-9102

## Contact information

- **Practice address:** 2724 5TH ST W STE C, LEHIGH ACRES, FL 33971-1581
- **Practice address phone:** (239) 303-9296
- **Practice address fax:** (239) 694-9010
- **Mailing address:** PO BOX 1199, LEHIGH ACRES, FL 33970-1199
- **Mailing address phone:** (239) 694-9102
- **Mailing address fax:** (239) 694-9101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2020
- **Last updated:** 10/20/2020