OrganizationActive
Gulf Coast Surgical Assisting PA
NPI 1871772194 · Surgical Technologist · Madeira Beach, FL
Provider details
- NPI number
- 1871772194
- Entity type
- Organization
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Kennedy, President(727) 442-6086
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
516 Crystal Dr
Madeira Beach, FL 33708-2373
Phone: (727) 548-9757
Fax: (888) 329-6432
Approximate (ZIP-level) locationGet directions
Mailing address
516 Crystal Dr
Madeira Beach, FL 33708-2373
Registry dates
- Enumerated
- 2007-11-02
- Last updated
- 2016-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.