Organization
GULF COAST HEALTHCARE SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R MICKEY JONES PT (CEO)
(239) 325-1310
Entity
Organization
Contact information
Practice address
2718 LEE BLVD STE B, LEHIGH ACRES, FL 33971-1537
(239) 325-1310
(239) 694-9101
Mailing address
2718 LEE BLVD STE B, LEHIGH ACRES, FL 33971-1537
(239) 325-1210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH4515
FL
174400000X
Specialist
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
ME92874
FL
Other
Enumeration date
10/18/2006
Last updated
09/03/2009
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