| Gastro Group Of The Palm Beaches Llp | |
|
2001 N Flagler Dr West Palm Beach FL 33407-6109 | |
| (561) 659-6543 | |
| (561) 659-3533 |
| Full Name | Gastro Group Of The Palm Beaches Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 N Flagler Dr, West Palm Beach, Florida |
| Authorized Official Name and Position | Lisa Bolognini (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5616596632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro Group Of The Palm Beaches Llp 2001 N Flagler Dr West Palm Beach FL 33407-6109 Ph: () - | Gastro Group Of The Palm Beaches Llp 2001 N Flagler Dr West Palm Beach FL 33407-6109 Ph: (561) 659-6543 |
| NPI Number | 1861700833 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 08/11/2020 |
| Medicare PECOS PAC ID | 9638363039 |
|---|---|
| Medicare Enrollment ID | O20101029000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861700833 | NPI | - | NPPES |
| 002990900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Robert Raymond |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477550846 PECOS PAC ID: 5597655613 Enrollment ID: I20040322000372 |
| Provider Name | Steven Krumholz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043342199 PECOS PAC ID: 9335107796 Enrollment ID: I20100727000572 |
| Provider Name | Jeffrey Howard Garelick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669661633 PECOS PAC ID: 2264626662 Enrollment ID: I20101129000581 |
| Provider Name | Glenn Howard Englander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932166543 PECOS PAC ID: 7911049671 Enrollment ID: I20120515000632 |
| Provider Name | Maria Cristina Hatara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427217439 PECOS PAC ID: 3375794217 Enrollment ID: I20200615002328 |
| Provider Name | Asher Anne Borradaile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396413357 PECOS PAC ID: 5991102253 Enrollment ID: I20210929001473 |
| Provider Name | Olga Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831869338 PECOS PAC ID: 6305243502 Enrollment ID: I20210929003558 |
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