Healthcare Provider Details

I. General information

NPI: 1477251569
Provider Name (Legal Business Name): GASTRO HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 CAMINO REAL STE 300
BOCA RATON FL
33433-5511
US

IV. Provider business mailing address

7200 CAMINO REAL STE 300
BOCA RATON FL
33433-5511
US

V. Phone/Fax

Practice location:
  • Phone: 561-487-4110
  • Fax: 561-487-2939
Mailing address:
  • Phone: 561-487-4110
  • Fax: 561-487-2939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAN OLIVER
Title or Position: CEO
Credential: CEO
Phone: 786-530-3820