Organization
GULF COAST ANESTHESIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYLOU PURCELL (OFFICE MANAGER)
(941) 624-5559
Entity
Organization
Contact information
Practice address
21275 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6704
(941) 624-5559
Mailing address
21275 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6704
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1580382
FL
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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