| Gastroenterology Group Of The Palm Beaches, Pa | |
|
2001 N Flagler Dr West Palm Beach FL 33407-6109 | |
| (561) 659-6543 | |
| (561) 659-3533 |
| Full Name | Gastroenterology Group Of The Palm Beaches, Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2001 N Flagler Dr, West Palm Beach, Florida |
| Authorized Official Name and Position | Lisa Bolognini (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 5616596632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Group Of The Palm Beaches, Pa 2001 N Flagler Dr West Palm Beach FL 33407-6109 Ph: (561) 659-6543 | Gastroenterology Group Of The Palm Beaches, Pa 2001 N Flagler Dr West Palm Beach FL 33407-6109 Ph: (561) 659-6543 |
| NPI Number | 1477558203 |
|---|---|
| Provider Enumeration Date | 06/17/2005 |
| Last Update Date | 11/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477558203 | NPI | - | NPPES |
| 042147200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME0043419 (Florida) | Primary |
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