| NPI | 1770879363 |
|---|---|
| Doing Business As | GULF COAST MEDICAL GROUP-ASTON GARDENS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2012-11-28 |