Organization
GULF COAST SURGICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED CONTE FRATTINI MD (CEO)
(727) 845-1662
Entity
Organization
Contact information
Practice address
2439 COUNTRY PLACE BLVD, SUITE 102, TRINITY, FL 34655-1163
(727) 845-1662
(727) 264-8869
Mailing address
2439 COUNTRY PLACE BLVD, SUITE 102, TRINITY, FL 34655-1163
(727) 845-1662
(727) 264-8869
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
01/24/2016
Last updated
09/09/2016
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