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Organization
GASTRO HEALTH, PL
Active
Organization
GASTRO HEALTH, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENIO JAVIER HERNANDEZ MD (PRIMARY PHARMACY PHYSICIAN)
(305) 596-9966
Entity
Organization
Contact information
Practice address
8950 N KENDALL DR, SUITE 306W, MIAMI, FL 33176-2144
(305) 596-9966
(305) 468-4196
Mailing address
8950 N KENDALL DR, SUITE 306W, MIAMI, FL 33176-2144
(305) 596-9966
(305) 468-4196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
ME70525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008258300
—
FL
01
—
Q0398
MEDICARE
FL
Enumeration date
08/27/2013
Last updated
08/27/2013
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