Organization
GULF COAST SPINE & ORTHOPAEDIC INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B MANZANARES MD (PRESIDENT/MD)
(239) 514-2642
Entity
Organization
Contact information
Practice address
8340 COLLIER BLVD, SUITE 203, NAPLES, FL 34114-3625
(239) 514-2642
(239) 514-2643
Mailing address
PO BOX 110788, NAPLES, FL 34108-0114
(239) 514-2642
(239) 514-2643
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME82473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261490100
—
FL
Enumeration date
07/01/2006
Last updated
07/15/2008
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