MEDICARE: GULF COAST MEDICAL PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization	PH20076	FL

General Provider Information

NPI Number	:	1568535870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GULF COAST MEDICAL PHARMACY INC

Provider Business Mailing Address
First Line	:	13685 DOCTORS WAY
Second Line	:	SUITE #150
City	:	FT.MYERS
State	:	FL
Zip	:	33912
Country	:	US
Telephone Number	:	239-278-3969
Fax Number	:	239-278-0336

Provider Business Practice Location Address
First Line	:	13685 DOCTORS WAY
Second Line	:	SUITE #150
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4336
Country	:	US
Telephone Number	:	239-278-3969
Fax Number	:	239-278-0336

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JEFFREY R. GREEN
Credential	:
Telephone Number	:	239-278-3969

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	12/09/2009

Similar Medicare Providers

1346244829 — SUSANNA F. BESHAI MD
Practice Location Address:

13685 DOCTORS WAY , SUITE 310
FORT MYERS, FL
33912-4336

Practice Phone: 239-275-6176
Practice Fax: 239-275-7245

1033119177 — LEAH LYNCH M.D.
Practice Location Address:

13685 DOCTORS WAY
FORT MYERS, FL
33912-4336

Practice Phone: 239-343-1953
Practice Fax: 239-343-4036

1790724144 — ELIZABETH ROCHE PA
Practice Location Address:

13685 DOCTORS WAY , SUITE 310
FORT MYERS, FL
33912-4336

Practice Phone: 239-343-1400
Practice Fax: 239-343-1430

1528119930 — NEW HORIZONS WOMENS HEALTH
Practice Location Address:

13685 DOCTORS WAY , SUITE 170
FORT MYERS, FL
33912-4336

Practice Phone: 239-245-8280
Practice Fax: 239-768-8631

1336353135 — JOHN J GREEN DO PA
Practice Location Address:

14131 METROPOLIS AVENUE , SUITE 104
FORT MYERS, FL
33912-4336

Practice Phone: 239-332-4099
Practice Fax: 239-332-4088

1699947465 — REHABILITATION CONSULTANTS PA
Practice Location Address:

13685 DOCTORS WAY , STE 190
FORT MYERS, FL
33912-4336

Practice Phone: 239-768-5454
Practice Fax: 239-768-5432

Directions to “GULF COAST MEDICAL PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.