Organization
GULF COAST HEALTHCARE SYSTEMS, INC
Active
Other names
Urgent and Convenient Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH MICKEY JONES PT, DPT (CEO)
(239) 325-1310
Entity
Organization
Contact information
Practice address
2718 LEE BLVD STE B, LEHIGH ACRES, FL 33971-1537
(239) 303-9298
Mailing address
2718 LEE BLVD STE B, LEHIGH ACRES, FL 33971-1537
(239) 303-9298
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5438
HCC
FL
Enumeration date
05/19/2014
Last updated
05/19/2014
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