Provider Demographics
NPI:1265168090
Name:FIRST COAST TMS, PLLC
Entity type:Organization
Organization Name:FIRST COAST TMS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:GAMMARANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-647-6238
Mailing Address - Street 1:PO BOX 17726
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32245-7726
Mailing Address - Country:US
Mailing Address - Phone:904-647-6238
Mailing Address - Fax:904-647-0898
Practice Address - Street 1:8825 PERIMETER PARK BLVD STE 402
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1124
Practice Address - Country:US
Practice Address - Phone:904-647-6238
Practice Address - Fax:904-490-9035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty