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GULF COAST PLASTIC SURGERY CENTER, LLC
NPI 1477322345
Surgery - Plastic and Reconstructive Surgery in Pensacola, FL

Active since December 20, 2023CLIA 10D2310292 · Waiver
539 FONTAINE ST, PENSACOLA, FL 32503(850) 476-3440(850) 741-5099 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gulf Coast Plastic Surgery Center, Llc NPPES

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

GULF COAST PLASTIC SURGERY CENTER, LLC (NPI 1477322345) is a healthcare organization registered as a plastic and reconstructive surgery in Pensacola, Florida and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through August 29, 2026, maintains a secondary practice location in Pensacola, and lists Peter N Butler, Owner/plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1477322345
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameGULF COAST PLASTIC SURGERY CENTER, LLC
Location Address539 FONTAINE STPensacola, FL 32503-2018
Mailing Address539 Fontaine StPensacola, FL 32503-2018 · (850) 476-3440 · Fax (850) 741-5099
Phone(850) 476-3440
Fax(850) 741-5099
Organization SubpartNo
Authorized OfficialPeter N ButlerOwner/plastic Surgeon · (850) 476-3223
Enumeration DateDecember 20, 2023
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1477322345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
539 FONTAINE ST, Pensacola, FL 32503
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Secondary Practice Location 1

Location 1543 Fontaine StPensacola, FL 32503-2058 · Phone (850) 476-3223

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 10D2310292

Gulf Coast Plastic Surgery Center LLC · Pensacola, FL
Active · expires Aug 29, 2026
CLIA Number10D2310292
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorNathan Patterson
Laboratory Phone(850) 476-3440
Laboratory LocationGulf Coast Plastic Surgery Center LLC539 Fontaine St, Pensacola, FL 32503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BEAUTY SLEEP ANESTHESIA SERVICES, LLC
Anesthesiology
539 FONTAINE ST
PENSACOLA, FL 32503
Escambia County (850) 221-9218

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 Plastic Surgery Center, LLC's NPI number?

The NPI number for Gulf Coast Plastic Surgery Center, LLC is 1477322345. It was assigned to this organization in the NPPES registry on December 20, 2023.

Where is Gulf Coast Plastic Surgery Center, LLC located?

Gulf Coast Plastic Surgery Center, LLC is located at 539 Fontaine St, Pensacola, FL 32503. The listed phone number is (850) 476-3440.

What is Gulf Coast Plastic Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Does Gulf Coast Plastic Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2310292) is associated with this NPI, valid through August 29, 2026. 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 Plastic Surgery Center, LLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.