# GULF COAST SPINE & ORTHOPAEDIC INSTITUTE PLLC

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

## Provider details

- **NPI number:** 1962431031
- **Authorized official:** JAMES B MANZANARES MD (PRESIDENT/MD)
- **Authorized official phone:** (239) 514-2642

## Contact information

- **Practice address:** 8340 COLLIER BLVD, SUITE 203, NAPLES, FL 34114-3625
- **Practice address phone:** (239) 514-2642
- **Practice address fax:** (239) 514-2643
- **Mailing address:** PO BOX 110788, NAPLES, FL 34108-0114
- **Mailing address phone:** (239) 514-2642
- **Mailing address fax:** (239) 514-2643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME82473 | FL | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 07/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 261490100 | — | FL |