Organization
GULF COAST THERAPY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THEESA C BENOCK O.T.R.C.H.T. (OCCUPATIONAL THERAPIST)
(941) 624-6222
Entity
Organization
Contact information
Practice address
3417 TAMIAMI TRL STE A, PORT CHARLOTTE, FL 33952-8158
(941) 624-6222
(941) 624-6831
Mailing address
12576 BACCHUS RD, PORT CHARLOTTE, FL 33981-1509
(941) 698-1191
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
OT1055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R6F
BCBS
FL
Enumeration date
05/22/2007
Last updated
08/22/2020
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