Organization
GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA LLC
Active
Other names
Gulf Coast Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DRIANIS DURAN AU.D. (AUDIOLOGIST/OWNER)
(239) 267-7888
Entity
Organization
Contact information
Practice address
8900 GLADIOLUS DR, SUITE 201, FORT MYERS, FL 33908-4487
(239) 267-7888
(239) 267-0409
Mailing address
8900 GLADIOLUS DR, SUITE 201, FORT MYERS, FL 33908-4487
(239) 267-7888
(239) 267-0409
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
AY1164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01088308
AMERIGROUP
—
01
—
0140162
GHI
—
01
—
1548335813
TRICARE
—
05
—
600507100
—
FL
01
—
S9326
BCBS
—
Enumeration date
05/02/2008
Last updated
07/11/2008
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