Florida Pediatric Gastroenterology Group, P.l.
NPI #1679604904 in Boca Raton, Florida
Provider Information
- NPI Number
- 1679604904
- Entity Type
- Organization
- Organization Name
- Florida Pediatric Gastroenterology Group, P.l.
- Primary Specialty
- Pediatrics - Pediatric Gastroenterology
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 9980 N. CENTRAL PARK BLVD.
- Address 2
- SUITE 202
- City
- Boca Raton
- State
- Florida
- ZIP Code
- 33428
- Phone
- (561) 482-7038
Authorized Official
- Name
- DR. LUIS OLIVA, M.D.
- Title
- FOUNDING MEMBER
- Phone
- (561) 482-2092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Gastroenterology — Pediatric Gastroenterology |
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