Organization
GULF COAST EMERGENCY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDE JOHN MASON MD (PRESIDENT)
(941) 629-1181
Entity
Organization
Contact information
Practice address
21298 OLEAN BOULEVARD, PORT CHARLOTTE, FL 33949
(941) 629-1181
(405) 607-1326
Mailing address
PO BOX 12370, OKLAHOMA CITY, OK 73157-2370
(866) 488-4558
(405) 607-1326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77789
BCBS
FL
Enumeration date
07/24/2006
Last updated
08/22/2020
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