| Benchmark Gastro, L.l.c. | |
|
10676 Bloomingdale Ave Ste 1 Riverview FL 33578-4292 | |
| (352) 514-4778 | |
| (813) 284-6052 |
| Full Name | Benchmark Gastro, L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10676 Bloomingdale Ave Ste 1, Riverview, Florida |
| Authorized Official Name and Position | Christopher Nobo (OWNER) |
| Authorized Official Contact | 3525144778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benchmark Gastro, L.l.c. 10676 Bloomingdale Ave Ste 1 Riverview FL 33578-4292 Ph: (352) 514-4778 | Benchmark Gastro, L.l.c. 10676 Bloomingdale Ave Ste 1 Riverview FL 33578-4292 Ph: (352) 514-4778 |
| NPI Number | 1194595918 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 0042657223 |
|---|---|
| Medicare Enrollment ID | O20240322004168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194595918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Christopher Nobo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407167919 PECOS PAC ID: 0547570343 Enrollment ID: I20151106001371 |
| Provider Name | Danielle Borland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164132841 PECOS PAC ID: 6002287455 Enrollment ID: I20230120002723 |
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