Gastro Health, LLC
Internal Medicine, Gastroenterology in New Smyrna Beach, FL. Organization (NPI-2).
NPI number1316635030
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1316635030
- Entity type
- Organization (NPI-2)
- Legal business name
- Gastro Health, LLC
- Organization subpart
- Yes
- Enumeration date
- May 1, 2023
- Certification date
- May 12, 2025
- Last updated
- May 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Other names
- Fl055 (Other Name)
Practice location
1722 State Road 44 # 390New Smyrna Beach, FL 32168-8339
Phone 386-427-0390 · Fax 386-427-0394
Mailing address
1722 State Road 44 # 390New Smyrna Beach, FL 32168-8339
Phone 386-427-0390 · Fax 386-427-0394
Authorized official
Alan Oliver
Ceo
7865303820
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