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Contact Information

GASTRO HEALTH SPECIALTY PHARMACY, LLC
7500 SW 87TH AVENUE
202
MIAMI, FL33173-3317
 Phone: 305-468-4199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for GASTRO HEALTH SPECIALTY PHARMACY, LLC

NPI Number 1386148005
LBN Legal business name GASTRO HEALTH SPECIALTY PHARMACY, LLC
Authorized official JAMES LEAVITT - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/19/2018
Last updated 03/19/2018 - About 8 years ago
Identifiers
FL Other 015925600 MEDICAID NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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