MEDICARE: SOUTH FLORIDA CENTER OF GASTROENTEROLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	OS4502	FL

General Provider Information

NPI Number	:	1689742157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA CENTER OF GASTROENTEROLOGY

Provider Business Mailing Address
First Line	:	10115 W FOREST HILL BLVD
Second Line	:	SUITE 100
City	:	WELLINGTON
State	:	FL
Zip	:	33414-3105
Country	:	US
Telephone Number	:	561-798-2425
Fax Number	:	561-798-6356

Provider Business Practice Location Address
First Line	:	10115 W FOREST HILL BLVD
Second Line	:	SUITE 100
City	:	WELLINGTON
State	:	FL
Zip	:	33414-3105
Country	:	US
Telephone Number	:	561-798-2425
Fax Number	:	561-798-6356

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MATTHEW J SMITH
Credential	:	DO
Telephone Number	:	561-798-2425

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1376545665 — JERRY HERBERT SINGER M.D.
Practice Location Address:

10115 FOREST HILL BLVD , SUITE 100
WELLINGTON, FL
33414-3105

Practice Phone: 561-333-1118
Practice Fax: 561-333-2228

1689673725 — DR. GARY R COHEN M.D.
Practice Location Address:

10115 W FOREST HILL BLVD , SUITE 401B
WELLINGTON, FL
33414-3105

Practice Phone: 561-791-4818
Practice Fax: 561-333-8242

1184689739 — DR. SARAH KNOWLTON M.D.
Practice Location Address:

10115 FOREST HILL BLVD , SUITE103
WELLINGTON, FL
33414-3105

Practice Phone: 561-328-6165
Practice Fax: 561-328-6091

1720043037 — DR. ANDREA ILENE BAYER M.D.
Practice Location Address:

10115 FOREST HILL BLVD , SUITE 103
WELLINGTON, FL
33414-3105

Practice Phone: 561-328-6165
Practice Fax: 561-328-6091

1497703342 — DR. DAMIEN CHRISTOPHER JOY M.D.
Practice Location Address:

10115 W FOREST HILL BLVD , SUITE 302
WELLINGTON, FL
33414-3105

Practice Phone: 561-204-4400
Practice Fax: 561-204-4455

1952345324 — DR. MARIO F GUILLEN MD
Practice Location Address:

10115 FOREST HILL BLVD , SUITE 104
WELLINGTON, FL
33414-3105

Practice Phone: 561-793-1117
Practice Fax: 561-793-1762

1487760856 — DR. DAVID G. SIMON D.M.D.
Practice Location Address:

10115 W FOREST HILL BLVD , SUITE 301
WELLINGTON, FL
33414-3105

Practice Phone: 561-333-3055
Practice Fax: 561-333-8177

Directions to “SOUTH FLORIDA CENTER OF GASTROENTEROLOGY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.