| NPI | 1215416847 |
|---|---|
| Doing Business As | GOLD COAST MEDICAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN EDWARD MALCHOW Chief Executive Officer 877-823-9310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2019-05-06 |