| Gastroenterology Consultants Of Boca Raton | |
|
951 Nw 13th St Ste 2e Boca Raton FL 33486-2337 | |
| (561) 455-3145 | |
| (561) 368-8642 |
| Full Name | Gastroenterology Consultants Of Boca Raton |
|---|---|
| Speciality | Internal Medicine |
| Location | 951 Nw 13th St Ste 2e, Boca Raton, Florida |
| Authorized Official Name and Position | Peter Salomon (CO-OWNER) |
| Authorized Official Contact | 5614553145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Consultants Of Boca Raton 951 Nw 13th St Ste 2e Boca Raton FL 33486-2337 Ph: (561) 455-3145 | Gastroenterology Consultants Of Boca Raton 951 Nw 13th St Ste 2e Boca Raton FL 33486-2337 Ph: (561) 455-3145 |
| NPI Number | 1720628662 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 01/08/2020 |
| Medicare PECOS PAC ID | 3971939174 |
|---|---|
| Medicare Enrollment ID | O20200206002683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720628662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Todd D Eisner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255303152 PECOS PAC ID: 0840238804 Enrollment ID: I20070219000490 |
| Provider Name | Vito C. Proscia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972575876 PECOS PAC ID: 7113965179 Enrollment ID: I20070219000708 |
| Provider Name | Peter J Salomon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699747501 PECOS PAC ID: 2769420728 Enrollment ID: I20070219000784 |
| Provider Name | Diane J Huntley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275686032 PECOS PAC ID: 4789780255 Enrollment ID: I20070509000069 |
| Provider Name | Theodore Doukides |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801063961 PECOS PAC ID: 4789751173 Enrollment ID: I20080926000460 |
| Provider Name | Donald J Zeller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154360733 PECOS PAC ID: 7618003815 Enrollment ID: I20100326000650 |
| Provider Name | Stephen M Miller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598773574 PECOS PAC ID: 5890799423 Enrollment ID: I20101129000550 |
| Provider Name | Sofia P Miranda-pasqualini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235799727 PECOS PAC ID: 2365778537 Enrollment ID: I20190725001122 |
| Provider Name | Maria Cristina Hatara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427217439 PECOS PAC ID: 3375794217 Enrollment ID: I20200615002328 |
| Provider Name | Sherman Chamberlain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104936855 PECOS PAC ID: 9931188174 Enrollment ID: I20200820002074 |
| Provider Name | Richard Ferstenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780668731 PECOS PAC ID: 0244395382 Enrollment ID: I20210407000634 |
| Provider Name | Shelley J Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386282051 PECOS PAC ID: 9032563069 Enrollment ID: I20230926000410 |
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Michelle Y Bruzzo Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 Clint Moore Rd, Suite 302, Boca Raton, FL 33496 Phone: 561-988-5387 Fax: 561-988-5388 | |
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Tamara Liss Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 Meadows Rd, Suite 103, Boca Raton, FL 33486 Phone: 561-347-9044 Fax: 561-347-9043 | |
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