Provider Demographics
NPI:1023065372
Name:GULFCOAST HOME MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:GULFCOAST HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-344-9828
Mailing Address - Street 1:PO BOX 2553
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34451-2553
Mailing Address - Country:US
Mailing Address - Phone:352-344-9828
Mailing Address - Fax:352-341-5096
Practice Address - Street 1:2008 HIGHWAY 44 W
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34453-3804
Practice Address - Country:US
Practice Address - Phone:352-344-9828
Practice Address - Fax:352-341-5096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL37332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR8037OtherBLUE CROSS BLUE SHIELD OF
FL5721980001Medicare ID - Type UnspecifiedMEDICARE