MEDICARE: GASTRO HEALTH, LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821796913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GASTRO HEALTH, LLC

Provider Business Mailing Address
First Line	:	7270 W BOYNTON BEACH BLVD STE B1
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3805
Country	:	US
Telephone Number	:	561-738-5772
Fax Number	:	561-738-0096

Provider Business Practice Location Address
First Line	:	7270 W BOYNTON BEACH BLVD STE B1
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3805
Country	:	US
Telephone Number	:	561-738-5772
Fax Number	:	561-738-0096

Authorized Official
Title or Position	:	CEO
Name	:	ALAN OLIVER
Credential	:	CEO
Telephone Number	:	786-530-3820

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	05/12/2025

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Directions to “GASTRO HEALTH, LLC ” Practice Location

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