Provider Demographics
NPI:1639553175
Name:GULF COAST ACCESSIBILITY OPTIONS LLC
Entity Type:Organization
Organization Name:GULF COAST ACCESSIBILITY OPTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-466-6431
Mailing Address - Street 1:15250 S TAMIAMI TRL
Mailing Address - Street 2:STE113
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-7222
Mailing Address - Country:US
Mailing Address - Phone:239-208-8150
Mailing Address - Fax:
Practice Address - Street 1:15250 S TAMIAMI TRL
Practice Address - Street 2:STE 113
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-7222
Practice Address - Country:US
Practice Address - Phone:239-208-8150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment