MEDICARE: BOCA RATON GASTROENTEROLOGY ASSOC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1558331496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOCA RATON GASTROENTEROLOGY ASSOC

Provider Business Mailing Address
First Line	:	9970 CENTRAL PARK BLVD N
Second Line	:	SUITE 101
City	:	BOCA RATON
State	:	FL
Zip	:	33428-2231
Country	:	US
Telephone Number	:	561-488-2700
Fax Number	:	561-488-1814

Provider Business Practice Location Address
First Line	:	9970 CENTRAL PARK BLVD N
Second Line	:	SUITE 101
City	:	BOCA RATON
State	:	FL
Zip	:	33428-2231
Country	:	US
Telephone Number	:	561-488-2700
Fax Number	:	561-488-1814

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KENNETH R ROSENTHAL
Credential	:	M.D.
Telephone Number	:	561-488-2700

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1366445736 — LUIS YOMTOV SALAZAR M.D.
Practice Location Address:

9970 CENTRAL PARK BLVD N , STE 101
BOCA RATON, FL
33428-2231

Practice Phone: 561-488-2700
Practice Fax: 561-488-3031

1922002781 — DR. KENNETH R ROSENTHAL M.D.
Practice Location Address:

9970 CENTRAL PARK BLVD N , STE 101
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Practice Phone: 561-488-2700
Practice Fax: 561-488-1814

1538163464 — DR. ALAN R BANK M.D.
Practice Location Address:

9970 CENTRAL PARK BLVD N , STE 101
BOCA RATON, FL
33428-2231

Practice Phone: 561-488-2700
Practice Fax: 561-488-1814

1134126907 — SCOTT BERENSON MD
Practice Location Address:

9970 CENTRAL PARK BLVD N , SUITE 404
BOCA RATON, FL
33428-2231

Practice Phone: 561-483-1125
Practice Fax: 561-483-9267

1265414510 — ROBERT E TOPPER MD
Practice Location Address:

9970 CENTRAL PARK BLVD N , 102
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1174563688 — DR. BRIAN A COSTELL M.D.
Practice Location Address:

9970 CENTRAL PARK BLVD N , SUITE 207
BOCA RATON, FL
33428-2231

Practice Phone: 561-482-1027
Practice Fax: 561-482-1028

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