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NPI Code Detail

MEDICARE: GASTRO HEALTH, LLC

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
1207RG0100XGastroenterology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1912601477
Entity Type Code : Organization
Provider Name (Legal Business Name) : GASTRO HEALTH, LLC
Provider Business Mailing Address
First Line : 3001 CORAL HILLS DR STE 250
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-4175
Country : US
Telephone Number : 954-721-5400
Fax Number : 877-840-6994
Provider Business Practice Location Address
First Line : 3001 CORAL HILLS DR STE 250
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-4175
Country : US
Telephone Number : 954-721-5400
Fax Number : 877-840-6994
Authorized Official
Title or Position : CEO
Name : ALAN OLIVER
Credential :
Telephone Number : 786-530-3820
Provider Enumeration Date : 03/29/2023
Last Update Date : 05/12/2025

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Directions to “GASTRO HEALTH, LLC ” Practice Location

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