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Organization

GULF COAST MEDICAL SPECIALISTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARC LOUNDY D.O. (PHYSICIAN)
(941) 379-8481
Entity
Organization

Contact information

Practice address
5831 BEE RIDGE RD, SUITE 210, SARASOTA, FL 34233-5088
(941) 379-8481
(941) 379-3781
Mailing address
5831 BEE RIDGE RD, SUITE 210, SARASOTA, FL 34233-5088
(941) 379-8481
(941) 379-3781

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
258763700
FL
01
38702
BCBS
FL
01
CH1204
RR MEDICARE
FL
Enumeration date
03/01/2006
Last updated
05/24/2010
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