Organization
GULF COAST VASCULAR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GARDNER (OPERATIONS OFFICER)
(727) 474-0090
Entity
Organization
Contact information
Practice address
14219 COOK RD, BILOXI, MS 39532-9719
(228) 207-0810
Mailing address
3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
(727) 474-0090
(727) 474-0055
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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