1. Home
  2. Directory
  3. Florida
  4. Venice
  5. Specialist
  6. NPI Profile

GULF COAST PEDIATRICS OF SARASOTA, PA-C
NPI 1255489308
Specialist in Venice, FL

Active since January 08, 2007CLIA 10D0884630 · Waiver
405 COMMERCIAL CT STE D, VENICE, FL 34292(941) 412-1515(941) 412-1525 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gulf Coast Pediatrics Of Sarasota, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GULF COAST PEDIATRICS OF SARASOTA, PA-C (NPI 1255489308) is a healthcare organization registered as a specialist in Venice, Florida and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Richard Allen Perez, President, as its authorized official.

NPPES Registry Identity

NPI1255489308
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGULF COAST PEDIATRICS OF SARASOTA, PA-C
Location Address405 COMMERCIAL CT STE DVenice, FL 34292-1653
Mailing Address5664 Bee Ridge Rd, Ste. 202Sarasota, FL 34233-1504 · (941) 377-6406 · Fax (941) 377-6407
Phone(941) 412-1515
Fax(941) 412-1525
Organization SubpartNo
Authorized OfficialRichard Allen PerezPresident · (941) 412-1515
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMay 22, 2012
✔ NPI 1255489308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME56640
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
405 COMMERCIAL CT STE D, Venice, FL 34292
Open in Google Maps ↗

Other Identifiers 1

Medicaid268427601FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0884630

Gulf Coast Pediatrics Of Sarasota PA · Sarasota, FL
Active · expires Jun 14, 2027
CLIA Number10D0884630
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorRichard A. Perez MD
Laboratory Phone(941) 377-6406
Laboratory LocationGulf Coast Pediatrics Of Sarasota PA5664 Bee Ridge Rd Ste 202, Sarasota, FL 34233
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gulf Coast Pediatrics Of Sarasota, Pa-C's NPI number?

The NPI number for Gulf Coast Pediatrics Of Sarasota, Pa-C is 1255489308. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Gulf Coast Pediatrics Of Sarasota, Pa-C located?

Gulf Coast Pediatrics Of Sarasota, Pa-C is located at 405 Commercial Ct Ste D, Venice, FL 34292. The listed phone number is (941) 412-1515.

What is Gulf Coast Pediatrics Of Sarasota, Pa-C's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Gulf Coast Pediatrics Of Sarasota, Pa-C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0884630) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gulf Coast Pediatrics Of Sarasota, Pa-C was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.