Organization · Type 2 NPI

Gulf Coast Spinal & Neurosurgical Specialists

Ambulatory Surgical Clinic/Center · Gulfport, MS

NPI number 1053699488 Active

Practice location

1340 Broad Ave, Suite 440
Gulfport, MS 39501-2404

Mailing address

PO Box 17708
Hattiesburg, MS 39404-7708

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XNone listed
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1053699488

Gulf Coast Spinal & Neurosurgical Specialists's National Provider Identifier is 1053699488, issued on Aug 3, 2011. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Gulfport, MS. The record was last updated on Aug 3, 2011.