Organization
COMPREHENSIVE ORTHOPAEDICS OF THE GULF COAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ROCHA MD (PRESIDENT)
(850) 492-7775
Entity
Organization
Contact information
Practice address
3298 SUMMIT BLVD STE 4, PENSACOLA, FL 32503
(850) 492-7775
(888) 974-1051
Mailing address
3298 SUMMIT BLVD STE 4, PENSACOLA, FL 32503-4350
(850) 492-7775
(888) 974-1051
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003141200
—
FL
01
—
7653620001
NCS-MEDICARE
FL
Enumeration date
01/03/2017
Last updated
07/25/2018
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