Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GULF COAST PLASTIC SURGERY CENTER, LLC
NPI 1477322345
Clinic/Center - Ambulatory Surgical in Pensacola, FL

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

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 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 an ambulatory surgical in Pensacola, Florida and active in the NPI registry since December 2023. The organization 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 Taxonomy261QA1903X
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
Fax(850) 741-5099
Organization SubpartNo
Authorized OfficialPeter N ButlerOwner/plastic Surgeon · (850) 476-3223
Enumeration DateDecember 20, 2023
Last NPPES UpdateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
NPI 1477322345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
539 FONTAINE ST, Pensacola, FL 32503

Secondary Practice Location 1

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

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
Expired · 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.

Anesthesiology
539 FONTAINE ST
PENSACOLA, FL 32503

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 Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Gulf Coast Plastic Surgery Center, LLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.