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GULF COAST IMMEDIATE CARE CENTER INC.
NPI 1437113057
Clinic/Center - Primary Care in Fort Walton Beach, FL

Active since April 12, 2006CLIA 10D0855793 · Waiver
345 MIRACLE STRIP PKWY SW, FORT WALTON BEACH, FL 32548(850) 244-3211(850) 243-1992 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Gulf Coast Immediate Care Center Inc. NPPES

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

GULF COAST IMMEDIATE CARE CENTER INC. (NPI 1437113057) is a healthcare organization registered as a primary care in Fort Walton Beach, Florida and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Robert V Siegel, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1437113057
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGULF COAST IMMEDIATE CARE CENTER INC.
Location Address345 MIRACLE STRIP PKWY SWFort Walton Beach, FL 32548-5210
Mailing Address345 Miracle Strip Pkwy SwFort Walton Beach, FL 32548-5210 · (850) 244-3211 · Fax (850) 243-1992
Phone(850) 244-3211
Fax(850) 243-1992
Organization SubpartNo
Authorized OfficialRobert V SiegelMedical Director/owner · (850) 244-3211
Enumeration DateApril 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437113057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · 0602460
345 MIRACLE STRIP PKWY SW, Fort Walton Beach, FL 32548
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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 10D0855793

Gulf Coast Immediate Care Center · Fort Walton Beach, FL
Active · expires Jul 22, 2027
CLIA Number10D0855793
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorRobert V. Siegel
Laboratory Phone(850) 244-3211
Laboratory LocationGulf Coast Immediate Care Center345 Miracle Strip SW, Fort Walton Beach, FL 32548
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT V. SIEGEL M.D.
Family Medicine
345 MIRACLE STRIP PKWY SW
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 244-3211
NOOR BASHAR ALBASHIR PA-C
Physician Assistant
345 MIRACLE STRIP PKWY SW
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 244-3211

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 Immediate Care Center Inc.'s NPI number?

The NPI number for Gulf Coast Immediate Care Center Inc. is 1437113057. It was assigned to this organization in the NPPES registry on April 12, 2006.

Where is Gulf Coast Immediate Care Center Inc. located?

Gulf Coast Immediate Care Center Inc. is located at 345 Miracle Strip Pkwy SW, Fort Walton Beach, FL 32548. The listed phone number is (850) 244-3211.

What is Gulf Coast Immediate Care Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Gulf Coast Immediate Care Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0855793) is associated with this NPI, valid through July 22, 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 Immediate Care Center Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.