Organization
GULF COAST RETINA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG DAVIS (OFFICE MANAGER)
(727) 862-3090
Entity
Organization
Contact information
Practice address
2055 LITTLE RD, TRINITY, FL 34655
(727) 862-3090
(727) 862-3023
Mailing address
2055 LITTLE RD, TRINITY, FL 34655-4421
(727) 862-3090
(727) 862-3023
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME68907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379522500
—
FL
Enumeration date
02/07/2007
Last updated
11/02/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us