Organization
GULFCOAST SURGICAL ASSISTING INC
Active
Organization
GULFCOAST SURGICAL ASSISTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY BRIAN CENTRACCHIO PA (OWNER)
(727) 734-1429
Entity
Organization
Contact information
Practice address
2024 JEFFERSON AVE, DUNEDIN, FL 34698-2613
(727) 734-1429
(727) 734-1429
Mailing address
2024 JEFFERSON AVE, DUNEDIN, FL 34698-2613
(727) 734-1429
(727) 734-1429
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/14/2008
Last updated
06/21/2018
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