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Organization
GASTRO HEALTH, LLC
Active
Organization
GASTRO HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLUM MD (PRIMARY PHARMACY PHYSICIAN)
(561) 495-5700
Entity
Organization
Contact information
Practice address
4675 LINTON BLVD, 202, DELRAY BEACH, FL 33445-6615
(561) 495-5700
(561) 495-2020
Mailing address
9500 S DADELAND BLVD, 200, MIAMI, FL 33156-2824
(305) 468-4185
(305) 675-3378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME52969
PRIMARY PHARMACY PHYSICIAN MEDICAL LICENSE
FL
Enumeration date
04/10/2017
Last updated
04/10/2017
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