Organization
GULF COAST PULMONARY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH KAPADIA (PHYSICIAN, OWNER)
(941) 625-7775
Entity
Organization
Contact information
Practice address
3014 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-4358
(941) 625-7775
Mailing address
3014 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-4358
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PA9107603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010555
PRESCRIBING PHYSICIAN ASSISTANT (PAX)
FL
Enumeration date
11/15/2013
Last updated
11/15/2013
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