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GULF COAST MOBILE MEDICINE, LLC
NPI 1417237785
Physician Assistant - Medical in Naples, FL

Active since August 18, 2011
8655 IBIS COVE CIR, NAPLES, FL 34119(239) 455-8047(239) 455-8048 Get Directions Write a Review

NPPES record last updated: August 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gulf Coast Mobile Medicine, Llc NPPES

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

GULF COAST MOBILE MEDICINE, LLC (NPI 1417237785) is a healthcare organization registered as a medical in Naples, Florida and active in the NPI registry since August 2011. The organization lists Marc E. Mccollaum, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1417237785
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameGULF COAST MOBILE MEDICINE, LLC
Location Address8655 IBIS COVE CIRNaples, FL 34119-7728
Mailing Address8655 Ibis Cove CirNaples, FL 34119-7728 · (239) 455-8047 · Fax (239) 455-8048
Phone(239) 455-8047
Fax(239) 455-8048
Organization SubpartNo
Authorized OfficialMarc E. MccollaumManaging Member · (239) 455-8048
Enumeration DateAugust 18, 2011
✔ NPI 1417237785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · 9102277
8655 IBIS COVE CIR, Naples, FL 34119
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Other Identifiers 2

Medicare PINU3802WFL
Medicare UPINQ28860

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

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 Mobile Medicine, LLC's NPI number?

The NPI number for Gulf Coast Mobile Medicine, LLC is 1417237785. It was assigned to this organization in the NPPES registry on August 18, 2011.

Where is Gulf Coast Mobile Medicine, LLC located?

Gulf Coast Mobile Medicine, LLC is located at 8655 Ibis Cove Cir, Naples, FL 34119. The listed phone number is (239) 455-8047.

What is Gulf Coast Mobile Medicine, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Gulf Coast Mobile Medicine, LLC was last updated on August 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.