Provider Demographics
NPI:1154211126
Name:GULF COAST MOBILE WOUND CARE
Entity type:Organization
Organization Name:GULF COAST MOBILE WOUND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-278-7269
Mailing Address - Street 1:1265 GREENVIEW LN
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-3467
Mailing Address - Country:US
Mailing Address - Phone:253-278-7269
Mailing Address - Fax:
Practice Address - Street 1:1265 GREENVIEW LN
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-3467
Practice Address - Country:US
Practice Address - Phone:253-278-7269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health