Organization
GULF COAST SURGICAL GROUP, LLC
Active
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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