| Organization Name: | GULF COAST GYNECOLOGY, INC. |
| NPI Number: | 1285742817 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE THUY NGUYEN (OFFICE MANAGER) |
| Mailing Address: | 4012 Commons Dr W Suite 100 Destin |
| State: | FL US |
| Postal Code: | 325418422 |
| Phone Number: | 8508370576 |
| Fax Number: | 8508371051 |
| NPI Enumeration Date: | 08/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | ME77139 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |