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NPI 1942940259

NPI 1942940259 : GASTRO HEALTH, LLC : NORTH MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1942940259
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    Entity Type          |    Organization 
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    Legal Business Name  |    GASTRO HEALTH, LLC 
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Dates
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    Enumeration Date     |    04/01/2022
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    Last Update Date     |    05/12/2025
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Provider Practice Location Address
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    Address Line         |    12550 BISCAYNE BLVD STE 705 
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    City                 |    NORTH MIAMI
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    State                |    FL
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    Zip                  |    33181-2545
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    Country              |    US
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    Telephone            |    305-892-3101
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    Fax                  |    305-892-3103
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Provider Business Mailing Address
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    Address Line         |    12550 BISCAYNE BLVD STE 705 
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    City                 |    NORTH MIAMI
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    State                |    FL
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    Zip                  |    33181-2545
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    Country              |    US
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    Telephone            |    305-892-3101
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    Fax                  |    305-892-3103
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     JOSEPH  GARCIA 
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    Credential           |    
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    Telephone            |    305-468-4185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    
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    License Number State |    
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