Organization
GULF COAST PMRA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD DEAN DAYTON (BILLING MNAGER)
(727) 900-1326
Entity
Organization
Contact information
Practice address
9369 GOLDEN RAIN LN, FORT MYERS, FL 33967-5136
(727) 900-1326
(727) 954-6546
Mailing address
PO BOX 61925, FORT MYERS, FL 33906-1925
(727) 900-1326
(727) 954-6546
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64098
FLORIDA BLUE
FL
Enumeration date
03/09/2021
Last updated
01/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us