Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gulfcoast Healthcare Group LLC

Organization Family Medicine Physician · NPI 1215788229

Gulfcoast Healthcare Group LLC provides Family Medicine Physician services in Cape Coral, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2721 Del Prado Blvd S Ste 250
Cape Coral, FL 33904-5710
Phone: (239) 574-5559
Fax: (239) 574-9454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1215788229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Johnson — President · (239) 574-5559
NPI enumeratedMarch 28, 2024
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address2721 Del Prado Blvd S Ste 250, Cape Coral, FL 33904-5710

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