10D1077907 CLIA NUMBER - GASTRO HEALTH PL

Laboratory Demographics

CLIA Number: 10D1077907

Facility Name: GASTRO HEALTH PL

Facility Address:
9980 CENTRAL PARK BLVD N STE 316
BOCA RATON, FL
ZIP 33428
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Facility Phone Number: 561 206-6064

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245900869

Taxonomy: 2080P0206X - Pediatrics
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D1077907
LAB Type	Physician Office
Facility Name	GASTRO HEALTH PL
Street	9980 CENTRAL PARK BLVD N STE 316
City	BOCA RATON
State	FL
ZIP	33428
Phone	561 206-6064
CertificateType	4
CertificateEffectiveDate	12/20/2023
CertificateExpirationDate	12/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024