| Coral Reef Gastroenterolgy Llc | |
|
7765 144th Street Suite 6 Sebastian FL 32958 | |
| (772) 589-0580 | |
| (772) 589-0760 |
| Full Name | Coral Reef Gastroenterolgy Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 7765 144th Street, Sebastian, Florida |
| Authorized Official Name and Position | Margi Ruiz (OWNER) |
| Authorized Official Contact | 7725890580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Reef Gastroenterolgy Llc 7765 144th Street Suite 6 Sebastian FL 32958 Ph: (772) 589-0580 | Coral Reef Gastroenterolgy Llc 7765 144th Street Suite 6 Sebastian FL 32958 Ph: (772) 589-0580 |
| NPI Number | 1992955637 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 09/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992955637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME95828 (Florida) | Primary |
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