| Organization Name: | GULF COAST HEALTHCARE SYSTEMS, INC |
| NPI Number: | 1134497167 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUDOLPH MICKEY JONES (CEO) |
| Mailing Address: | 700 S Main St Labelle |
| State: | FL US |
| Postal Code: | 339354440 |
| Phone Number: | 2393251310 |
| Fax Number: | 8888039101 |
| NPI Enumeration Date: | 12/05/2011 |
| NPI Last Update Date: | 06/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |