| NPI | 1093817876 |
|---|---|
| Doing Business As | GULF COAST PEDIATRICS & FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | STEVEN BENNETT HAAG Treasurer/Office Manager 813-926-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |