| Gastro Florida Professional Association | |
|
21097 Ne 27th Ct Ste 330 Miami FL 33180-1206 | |
| (718) 210-2960 | |
| (941) 200-4181 |
| Full Name | Gastro Florida Professional Association |
|---|---|
| Speciality | Internal Medicine |
| Location | 21097 Ne 27th Ct Ste 330, Miami, Florida |
| Authorized Official Name and Position | Jason Rubinov (PRESIDENT) |
| Authorized Official Contact | 7182102960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro Florida Professional Association 111 Kent Ave Apt 4m Brooklyn NY 11249-2916 Ph: (718) 210-2960 | Gastro Florida Professional Association 21097 Ne 27th Ct Ste 330 Miami FL 33180-1206 Ph: (718) 210-2960 |
| NPI Number | 1851041370 |
|---|---|
| Provider Enumeration Date | 03/27/2022 |
| Last Update Date | 03/27/2022 |
| Medicare PECOS PAC ID | 5698159259 |
|---|---|
| Medicare Enrollment ID | O20220830004623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851041370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Jason Rubinov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154697472 PECOS PAC ID: 1759629207 Enrollment ID: I20220831000004 |
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