Organization
GULF COAST SURGICAL ASSISTING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE KENNEDY CST (PRESIDENT)
(727) 442-6086
Entity
Organization
Contact information
Practice address
516 CRYSTAL DR, MADEIRA BEACH, FL 33708-2373
(727) 548-9757
(888) 329-6432
Mailing address
516 CRYSTAL DR, MADEIRA BEACH, FL 33708-2373
(727) 548-9757
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
FL
Other
Enumeration date
11/02/2007
Last updated
10/10/2016
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