Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC

Organization Specialist · NPI 1366560435

Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC is a Specialist in Gulfport, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

407 Security Sq
Gulfport, MS 39507-1922
Phone: (228) 896-1987
Fax: (228) 896-1315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1366560435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Smith — Owner · (228) 863-6617
NPI enumeratedMarch 27, 2007
Last updated in NPPESApril 23, 2015
Mailing address407 Security Sq, Gulfport, MS 39507-1922

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