Organization
GULFCOAST SURGERY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP H ASKINS (ADMINISTRATOR)
(941) 924-9282
Entity
Organization
Contact information
Practice address
4947 CLARK RD, SARASOTA, FL 34233-3252
(941) 924-9282
(941) 927-0797
Mailing address
4947 CLARK RD, SARASOTA, FL 34233-3252
(941) 924-9282
(941) 927-0797
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
286412
AVMED
FL
01
—
490005687
MEDICARE RAILROAD
FL
01
—
5657489001
CIGNA
FL
01
—
6A4
BLUECROSS BLUESHIELD FLOR
FL
05
—
758256
—
FL
Enumeration date
05/23/2005
Last updated
04/23/2013
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