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Organization
GASTRO HEALTH, PL
Active
Organization
GASTRO HEALTH, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO HERNANDEZ I MD (PRIMARY PHARMACY PHYSICIAN)
(305) 856-7333
Entity
Organization
Contact information
Practice address
3661 S MIAMI AVE STE 907, MIAMI, FL 33133-4214
(305) 856-7333
(305) 675-3378
Mailing address
9500 S DADELAND BLVD, STE 802, MIAMI, FL 33156-2824
(305) 468-4185
(305) 675-3378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
ME87519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008258300
—
FL
Enumeration date
03/07/2016
Last updated
01/21/2019
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