| NPI | 1801109178 |
|---|---|
| Doing Business As | GREATER GULF COAST PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JASON K HARVEY Executive Director 850-479-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |